Harborcreek Youth Services
NPI #1033230677 in Harborcreek, Pennsylvania
Provider Information
- NPI Number
- 1033230677
- Entity Type
- Organization
- Organization Name
- Harborcreek Youth Services
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 5712 IROQUOIS AVENUE
- Address 2
- LIBERTY HOUSE
- City
- Harborcreek
- State
- Pennsylvania
- ZIP Code
- 16421-1009
- Phone
- (814) 899-7664
Authorized Official
- Name
- MR. JOHN D. PETULLA, LSW
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (814) 899-7664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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