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Cornell Abraxas Group, Llc
Children's Substance Abuse Rehabilitation Facility in Shelby, Ohio
NPI 1376518902

Cornell Abraxas Group, Llc is a Children's Substance Abuse Rehabilitation Facility based in Shelby, OH and is specialized in Substance Abuse Treatment, Children. Cornell Abraxas Group, Llc practices in Shelby, OH. The NPI Number for Cornell Abraxas Group, Llc is 1376518902 and holds a License No. 0680 (Ohio).

The current practice location address for Cornell Abraxas Group, Llc is 2775 State Route 39, Shelby, OH and can be reached out via phone at 419-747-3322 and via fax at 381-657-9702.

Location: 2775 State Route 39, Shelby, OH, 44875-9466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376518902
Provider Name
Cornell Abraxas Group, Llc
Credential
Provider Entity Type
Organization
Address
2775 State Route 39, Shelby, OH, 44875-9466
Phone Number
419-747-3322
Fax Number
381-657-9702
Provider Enumeration Date
02/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0063924 05 OH
2876928 05 OH
institution
Provider Business Practice Location Address Details
Address
2775 State Route 39
City
Shelby
State
Ohio
Zip
44875-9466
Phone Number
419-747-3322
Fax Number
381-657-9702
person
Provider Business Mailing Address Details
Address
2775 State Route 39
City
Shelby
State
Ohio
Zip
44875-9466
Phone Number
419-747-3322
Fax Number
381-657-9702
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
FACSIS 256 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
0680 (Ohio)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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