Healthcare Provider Details

I. General information

NPI: 1356517478
Provider Name (Legal Business Name): STAIRWAYS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 W 8TH ST
ERIE PA
16505-4747
US

IV. Provider business mailing address

138 E 26TH ST
ERIE PA
16504-1049
US

V. Phone/Fax

Practice location:
  • Phone: 814-464-8311
  • Fax: 814-453-4757
Mailing address:
  • Phone: 814-464-8311
  • Fax: 814-453-4757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANN MARIE ERNST
Title or Position: SUPERVISOR OF BILLING
Credential:
Phone: 814-464-8311