Organization
GODS MOUNTAIN RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH QUINONES (CFO)
(215) 971-0143
Entity
Organization
Contact information
Practice address
94 ADAMS DR, WAYMART, PA 18472
(215) 971-0143
(215) 442-9272
Mailing address
1418 W STREET RD, WARMINSTER, PA 18974-3112
(215) 971-0143
(215) 442-9272
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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