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

Gaudenzia Inc

Organization Community/Behavioral Health Agency · NPI 1083743975

Gaudenzia Inc is a Community/Behavioral Health Agency 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

2100 W Venango St
Philadelphia, PA 19140-3937
Phone: (215) 438-5082
Fax: (215) 438-4159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 807308 (PA)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 807308 (PA)

Record details

NPI number1083743975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Williams — Sr. Contracting Manager · (484) 338-3731
Other names Gaudenzia Re-Entry House; Gaudenzia Re-Entry House
NPI enumeratedMarch 5, 2007
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address106 W Main St, Norristown, PA 19401-4716

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