Organization
PENN FOUNDATION INC
Active
Other names
Assertive Community Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE MUGRAUER MPA (PRESIDENT/CEO)
(215) 257-6551
Entity
Organization
Contact information
Practice address
SUNNYBROOK VILLAGE, 500 CREEKSIDE DRIVE, SUITE 507, PA 19464
(610) 819-6000
(610) 819-6004
Mailing address
807 LAWN AVENUE, PO BOX 32, SELLERSVILLE, PA 18960
(215) 257-6551
(215) 257-9347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129323
HEALTH CHOICES
PA
05
—
PE113171
—
PA
Enumeration date
11/30/2006
Last updated
10/14/2010
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