NPI | 1770157356 |
---|---|
Other Name | GAUDENZIA HUTCHINSON PLACE |
Entity Type | Organization |
Authorized Contact | MIKE WILLIAMS Senior Contracting Manager 484-338-3731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-05-18 |
Last Update Date | 2021-05-18 |