Elaine B, Axelman, MA Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Penn Valley, PA
- NPI
- 1063745875
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- License number
- PS00608L (PA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-09-11
- Last updated
- 2009-09-11
Practice location
825 Chauncey Rd
Penn Valley, PA 19072-1303
(610) 664-2560