NPI | 1508389875 |
---|---|
Other Name | GAUDENZIA COMMONGROUND |
Entity Type | Organization |
Authorized Contact | MICHAEL COYLE Director Of Fiscal & Accounting 610-293-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 227036) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2017-07-19 |