| NPI | 1811011513 |
|---|---|
| Other Name | GAUDENZIA COMMON GROUND |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Sr. Contract Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 227036) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-04-22 |