NPI | 1639293418 |
---|---|
Other Name | GAUDENZIA CHAMBERS HILL ADOLESCENT PROGRAM |
Entity Type | Organization |
Authorized Contact | MICHAEL J MOYLE Dir. Fiscal & Corporate Operations 610-239-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 227057) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |