Organization
SAINT GABRIEL'S SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LAVORITANO (EXECUTIVE DIRECTOR)
(215) 665-8777
Entity
Organization
Contact information
Practice address
1350 PAWLINGS ROAD, AUDUBON, PA 19407-7280
(215) 247-2776
(610) 666-1698
Mailing address
1350 PAWLINGS ROAD, AUDUBON, PA 19407-7280
(215) 247-2776
(610) 666-1698
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
139210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007722800001
—
PA
05
—
1007722800004
—
PA
05
—
1007722800007
—
PA
05
—
1007722800009
—
PA
05
—
1007722800022
—
PA
Enumeration date
01/11/2007
Last updated
01/07/2016
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