Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaudenzia Drc Inc

Organization Clinic/Center · NPI 1043434608

Gaudenzia Drc Inc is a Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3200 Henry Ave
Philadelphia, PA 19129-1137
Phone: (215) 991-9700
Fax: (215) 991-9796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 807384 (PA)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 807384 (PA)

Record details

NPI number1043434608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Moyle — Dir. Fiscal & Corporate Operastions · (610) 239-9600
Other names Gaudenzia Drc Outpatient
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 19, 2010
Mailing address106 W Main St, Norristown, PA 19401-4716

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