# MATURE RESOURCES FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Susquehanna Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447861521
- **Authorized official:** KATHLEEN GILLESPIE (CEO)
- **Authorized official phone:** (814) 765-2696

## Contact information

- **Practice address:** 28944 FRENCHVILLE KARTHAUS HWY, FRENCHVILLE, PA 16836-8834
- **Practice address phone:** (814) 765-2696
- **Mailing address:** PO BOX 986500, BOSTON, MA 02298-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2020
- **Last updated:** 08/12/2020
