Gaudenzia
Gaudenzia is a Substance Use Disorder Rehabilitation Clinic/Center in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2010.
- Licensed in
- MD
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
4615 Park Heights AveBaltimore, MD 21215-6331
Phone: (443) 423-1500
Fax: (443) 423-1495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 903027 (MD) |
|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X · Licence 903027 (MD) |
Record details
| NPI number | 1215256417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Williams — Sr. Contracting Manager · (484) 338-3731 |
| NPI enumerated | May 27, 2010 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | 4615 Park Heights Ave, Baltimore, MD 21215-6331 |
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