| NPI | 1700051356 |
|---|---|
| Other Name | GAUDENZIA MONTGOMERY COUNTY OP |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Contract Manager 484-338-3731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2022-05-18 |