NPI | 1629295076 |
---|---|
Other Name | GAUDENZIA FOCUS HOUSE |
Entity Type | Organization |
Authorized Contact | MICHAEL COYLE Dir. Fiscal & Accounting Operations 610-239-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 807204) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2016-06-22 |