NPI | 1366656175 |
---|---|
Other Name | GAUDENZIA AT PARK HEIGHTS |
Entity Type | Organization |
Authorized Contact | MIKE WILLIAMS Sr. Contracting Manager 484-338-3731 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 10478) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 12536) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2021-06-24 |