| NPI | 1457871311 |
|---|---|
| Other Name | GAUDENZIA WOODLAND |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Sr. Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-06-24 |