OrganizationActive
Cornell Abraxas Group, LLC
NPI 1376518902 · Children's Substance Abuse Rehabilitation Facility · Shelby, OH
Provider details
- NPI number
- 1376518902
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julia Vogt, Business Manager(419) 747-0881
- License
- 0680 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Practice location
2775 State Route 39
Shelby, OH 44875-9466
Phone: (419) 747-3322
Fax: (381) 657-9702
Approximate (ZIP-level) locationGet directions
Mailing address
2775 State Route 39
Shelby, OH 44875-9466
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.