| NPI | 1104261585 |
|---|---|
| Other Name | GAUDENZIA PARK HEIGHTS IOP/OP |
| Entity Type | Organization |
| Authorized Contact | ANDREA PERSON Division Director 410-367-5501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |