| NPI | 1245478528 |
|---|---|
| Other Name | GAUDENZIA COATESVILLE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Senior Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA 157063) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 157063) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2021-03-28 |