| NPI | 1558881417 |
|---|---|
| Other Name | GAUDENZIA CROWNSVILLE |
| Entity Type | Organization |
| Authorized Contact | YOUTHFUL EDRINGTON Credential COO Rdinator 717-980-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-02-13 |