IndividualActive
Gabriel Crowley
NPI 1285200162 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Philadelphia, PA
Provider details
- NPI number
- 1285200162
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1239 N Howard St
Philadelphia, PA 19122-4612
Phone: (267) 575-6072
Approximate (ZIP-level) locationGet directions
Mailing address
1239 N Howard St
Philadelphia, PA 19122-4612
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.