Provider Demographics
NPI:1265656078
Name:ERIE COUNTY OFFICE OF CHILDREN & YOUTH
Entity Type:Organization
Organization Name:ERIE COUNTY OFFICE OF CHILDREN & YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-451-6614
Mailing Address - Street 1:154 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1365
Mailing Address - Country:US
Mailing Address - Phone:814-451-6616
Mailing Address - Fax:814-451-6868
Practice Address - Street 1:154 W 9TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1365
Practice Address - Country:US
Practice Address - Phone:814-451-6616
Practice Address - Fax:814-451-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015135840002OtherDPW PROMISE PROVIDER NBR