# ST GABRIELS SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265608459
- **Authorized official:** MR. JOSEPH LAVORITANO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 665-8777

## Contact information

- **Practice address:** 227 N 18TH ST, PHILADELPHIA, PA 19103-1212
- **Practice address phone:** (215) 665-8777
- **Mailing address:** 227 N 18TH ST, PHILADELPHIA, PA 19103-1212
- **Mailing address phone:** (215) 665-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 125560 | PA | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 01/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007722800001 | — | PA |