Harborcreek Youth Services in Harborcreek - Psychiatric Residential Treatment Facility
Harborcreek Youth Services - NPI 1750402954
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 1750402954. 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 | 1750402954 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| 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 | 403810 |
|
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 0023 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Harborcreek Youth Services by the Centers for Medicare & Medicaid Services (CMS)?
The Harborcreek Youth Services has been assigned the NPI (National Provider Identifier) 1750402954. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Harborcreek Youth Services is located?
The Harborcreek Youth Services is situated at the following address: 5712 Iroquois Ave, Harborcreek, PA, 164211009.
What is Harborcreek Youth Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Harborcreek Youth Services is Psychiatric Residential Treatment Facility, and the taxonomy code that classifies this field of practice is 323P00000X.
On what date did Harborcreek Youth Services receive its 1750402954 assignment from the Centers for Medicare & Medicaid Services?
The Harborcreek Youth Services was assigned its 1750402954 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Harborcreek Youth Services most recently updated or revised?
The details related to Harborcreek Youth Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.