Gaudenzia Dresher/willow Grover | |
830 Twining Rd Dresher PA 19025-1700 | |
(215) 433-1634 | |
Not Available |
Full Name | Gaudenzia Dresher/willow Grover |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 830 Twining Rd, Dresher, Pennsylvania |
Authorized Official Name and Position | Mike Williams (SENIOR CONTRACTING MANAGER) |
Authorized Official Contact | 4843383731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gaudenzia Dresher/willow Grover 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Dresher/willow Grover 830 Twining Rd Dresher PA 19025-1700 Ph: (215) 433-1634 |
NPI Number | 1356871487 |
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Provider Enumeration Date | 06/12/2017 |
Last Update Date | 05/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356871487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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