NPI | 1376103556 |
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Doing Business As | GAUDENZIA VISION OF HOPE |
Other Name | GAUDENZIA VISION OF HOPE |
Entity Type | Organization |
Authorized Contact | NICHOLAS CHABAN Controller 610-239-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-19 |