Organization
DANIEL GAYOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GAYOU LBS (BEHAVIORAL SPECIALIST CONSULTANT)
(610) 931-1388
Entity
Organization
Contact information
Practice address
518 BEECHWOOD AVE, 1, COLLINGDALE, PA 19023-3439
(610) 931-1388
Mailing address
518 BEECHWOOD AVE, 1, COLLINGDALE, PA 19023-3439
(610) 931-1388
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
001937
PA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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