Organization
PENN FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY REASER (EXECUTIVE COORD OF MEDICAL STAFF)
(215) 453-5162
Entity
Organization
Contact information
Practice address
403A GORDON DR, EXTON, PA 19341-1249
(215) 257-6551
(215) 257-9347
Mailing address
807 LAWN AVE, SELLERSVILLE, PA 18960-1594
(215) 257-6551
(215) 257-9347
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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