Organization
PENN FOUNDATION, INC.
Active
Other names
Wellspring Clubhouse
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE MUGRAUER M.P.A. (PRESIDENT/CEO)
(215) 257-6551
Entity
Organization
Contact information
Practice address
700 S MAIN ST, SELLERSVILLE, PA 18960-1652
(215) 257-4760
(215) 257-6629
Mailing address
807 LAWN AVE, P.O. BOX 32, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 257-9347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
11/19/2014
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