| NPI | 1245362482 |
|---|---|
| Other Name | GAUDENZIA OUTREACH I |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MOYLE Dir. Of Fiscal &Corporate Operation 610-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 800146) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 800146) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |