| NPI | 1609358456 |
|---|---|
| Doing Business As | GAUDENZIA COAL TOWNSHIP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL COYLE Dir. Of Fiscal & Accounting Operati 610-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |