Harborcreek Youth Services in Harborcreek - Psychiatric Residential Treatment Facility
Harborcreek Youth Services - NPI 1386765923
Harborcreek Youth Services is a Psychiatric Residential Treatment Facility in Harborcreek, Pennsylvania. Harborcreek Youth Services practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Harborcreek Youth Services is 1386765923. The last update date is 2020-08-22.
Harborcreek Youth Services's current location address is 5712 Iroquois Ave, Harborcreek, Pennsylvania. You can contact this provider via phone number 8148997664 and fax number 8148993075. The mailing address for Harborcreek Youth Services is 5712 Iroquois Ave, Harborcreek, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Harborcreek Youth Services |
|---|---|
| Address | 5712 Iroquois Ave, Harborcreek, Pennsylvania |
| Phone Number | 8148997664 |
| Fax Number | 8148993075 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Petulla D. John |
| Credentials | LSW |
| Telephone Number | 8148997664 |
NPI Number Detail
| NPI Number | 1386765923 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5712 Iroquois Ave |
|---|---|
| City | Harborcreek |
| State | Pennsylvania (PA) |
| Post Code | 164211009 |
| Phone Number | 8148997664 |
| Fax Number | 8148993075 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 433390 |
|
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 001410380 0016 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Harborcreek Youth Services by the Centers for Medicare & Medicaid Services?
The Harborcreek Youth Services has been assigned the NPI (National Provider Identifier) 1386765923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Harborcreek Youth Services?
The Harborcreek Youth Services is physically situated at 5712 Iroquois Ave, in the city of Harborcreek, state of PA, with the postal code 164211009.
What is Harborcreek Youth Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Harborcreek Youth Services is Psychiatric Residential Treatment Facility, and the corresponding taxonomy classification code for this specialized field is 323P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386765923 to Harborcreek Youth Services?
The Harborcreek Youth Services received its 1386765923 assignment from the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the information regarding Harborcreek Youth Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Harborcreek Youth Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY