# GREY MUZZLE MANOR SANCTUARY, INC.

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

## Provider details

- **NPI number:** 1770268013
- **Authorized official:** MARCY B. TOCKER LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (610) 655-5271

## Contact information

- **Practice address:** 5180 DIEHL RD, MOHNTON, PA 19540-7777
- **Practice address phone:** (610) 655-5271
- **Mailing address:** 428 MAIN ST \# A, MOHRSVILLE, PA 19541-8000
- **Mailing address phone:** (610) 655-5271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/06/2025