Cornell Abraxas Group, LLC

NPI #1376518902 in Shelby, Ohio

Provider Information

NPI Number: 1376518902
Entity Type: Organization
Organization Name: Cornell Abraxas Group, LLC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Feb 17, 2006
Last Updated: Jun 13, 2022

Practice Location

Address: 2775 STATE ROUTE 39
City: Shelby
State: Ohio
ZIP Code: 44875-9466
Phone: (419) 747-3322

Authorized Official

Name: JULIA VOGT
Title: BUSINESS MANAGER
Phone: (419) 747-0881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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