Harborcreek Youth Services
NPI #1518088160 in Erie, Pennsylvania
Provider Information
- NPI Number
- 1518088160
- Entity Type
- Organization
- Organization Name
- Harborcreek Youth Services
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1052 W 26TH ST
- Address 2
- WEST 26TH STREET HOUSE
- City
- Erie
- State
- Pennsylvania
- ZIP Code
- 16508-1516
- Phone
- (814) 459-5629
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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