Healthcare Provider Details

I. General information

NPI: 1396668489
Provider Name (Legal Business Name): GODS MOUNTAIN RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4877 W SWAMP RD
DOYLESTOWN PA
18901-9030
US

IV. Provider business mailing address

1418 W STREET RD
WARMINSTER PA
18974-3112
US

V. Phone/Fax

Practice location:
  • Phone: 267-406-4661
  • Fax: 215-933-6171
Mailing address:
  • Phone: 215-971-0143
  • Fax: 215-442-9272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH QUINONES
Title or Position: PRESIDENT
Credential:
Phone: 215-971-0143