| NPI | 1356871487 |
|---|---|
| Other Name | GAUDENZIA DRESHER/WILLOW GROVER |
| 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 |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-05-18 |