Provider Demographics
NPI:1235243924
Name:SARAH A. REED CHILDREN'S CENTER
Entity Type:Organization
Organization Name:SARAH A. REED CHILDREN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:MANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-838-1954
Mailing Address - Street 1:2445 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-3549
Mailing Address - Country:US
Mailing Address - Phone:814-838-1954
Mailing Address - Fax:814-835-2196
Practice Address - Street 1:2445 W 34TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-3549
Practice Address - Country:US
Practice Address - Phone:814-838-1954
Practice Address - Fax:814-835-2196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA471900261QM0855X
PA402790261QM0855X
PA417340322D00000X
PA410740322D00000X
PA410750322D00000X
PA463100322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children