Individual
GABRIEL CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1239 N HOWARD ST, PHILADELPHIA, PA 19122-4612
(267) 575-6072
Mailing address
1239 N HOWARD ST, PHILADELPHIA, PA 19122-4612
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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