Healthcare Provider Details

I. General information

NPI: 1235243924
Provider Name (Legal Business Name): SARAH A. REED CHILDREN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 W 34TH ST
ERIE PA
16506-3549
US

IV. Provider business mailing address

2445 W 34TH ST
ERIE PA
16506-3549
US

V. Phone/Fax

Practice location:
  • Phone: 814-838-1954
  • Fax: 814-835-2196
Mailing address:
  • Phone: 814-838-1954
  • Fax: 814-835-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number471900
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number402790
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number417340
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number410740
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number410750
License Number StatePA
# 6
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number463100
License Number StatePA

VIII. Authorized Official

Name: MR. JAMES D. MANDO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 814-838-1954