| Indian Creek Foundation | |
|
420 Cowpath Rd Souderton PA 18964-2036 | |
| (215) 257-6551 | |
| (215) 257-9347 |
| Full Name | Indian Creek Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 Cowpath Rd, Souderton, Pennsylvania |
| Authorized Official Name and Position | Wayne Mugrauer (PRESIDENT/CEO) |
| Authorized Official Contact | 2152576551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Creek Foundation 807 Lawn Ave P.o. Box 32 Sellersville PA 18960-1549 Ph: (215) 257-6551 | Indian Creek Foundation 420 Cowpath Rd Souderton PA 18964-2036 Ph: (215) 257-6551 |
| NPI Number | 1992949549 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992949549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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