Organization
GAMUT BEHAVIORAL SERVICES
Active
Organization
GAMUT BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYCATE MCDONOUGH (DIRECTOR)
(267) 253-5366
Entity
Organization
Contact information
Practice address
101 E 8TH AVE STE 303, CONSHOHOCKEN, PA 19428-1774
(267) 253-5366
Mailing address
101 E 8TH AVE STE 303, CONSHOHOCKEN, PA 19428-1774
(267) 253-5366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102565908-0002
—
PA
Enumeration date
01/28/2011
Last updated
11/14/2024
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