| NPI | 1336263755 |
|---|---|
| Other Name | GAUDENZIA VANTAGE HOUSE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MOYLE Dir. Fiscal & Corporate Operations 610-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 367044) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-02-06 |