| NPI | 1386164242 |
|---|---|
| Other Name | GAUDENZIA CROWNSVILLE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Sr. Contracting Manger 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-06-24 |