| NPI | 1447478193 |
|---|---|
| Other Name | GAUDENZIA ELSIE SHENK OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MOYLE Dir. Fiscal & Corporate Operations 610-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: PA 367081) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 367081) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-01-14 |