Penn Foundation INC
NPI #1265500185 in Suite 507, Pennsylvania
Provider Information
- NPI Number
- 1265500185
- Entity Type
- Organization
- Organization Name
- Penn Foundation INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Oct 14, 2010
Practice Location
- Address
- SUNNYBROOK VILLAGE
- Address 2
- 500 CREEKSIDE DRIVE
- City
- Suite 507
- State
- Pennsylvania
- ZIP Code
- 19464
- Phone
- (610) 819-6000
Authorized Official
- Name
- WAYNE MUGRAUER, MPA
- Title
- PRESIDENT/CEO
- Phone
- (215) 257-6551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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