| NPI | 1225360951 |
|---|---|
| Other Name | GAUDENZIA GIBSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Contract Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA 327810) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2021-06-02 |