Gaudenzia Drc Inc
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.
Practice location Address checks out
3200 Henry AvePhiladelphia, PA 19129-1137
Phone: (215) 991-9700
Fax: (215) 991-9796
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1043434608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Moyle — Dir. Fiscal & Corporate Operastions · (610) 239-9600 |
| Other names | Gaudenzia Drc Outpatient |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | July 19, 2010 |
| Mailing address | 106 W Main St, Norristown, PA 19401-4716 |
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