| NPI | 1194840736 |
|---|---|
| Other Name | GAUDENZIA CONCEPT 90 |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Senior Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 221159) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-05-05 |