| Organization Name: | CORNELL ABRAXAS GROUP, INC |
| NPI Number: | 1134385669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | INEZ FERRANTE (BUSINESS MANAGER) |
| Mailing Address: | 899 E Broad St Columbus |
| State: | OH US |
| Postal Code: | 432051156 |
| Phone Number: | 4197470819 |
| Fax Number: | 2816579702 |
| NPI Enumeration Date: | 08/04/2008 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | 0680 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |