Gaudenzia Inc
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.
Practice location Address checks out
1300 E Tulpehocken StPhiladelphia, PA 19138-1523
Phone: (215) 924-6322
Fax: (215) 924-5531
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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 807230 (PA) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 807230 (PA) |
Record details
| NPI number | 1730212861 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Williams — Sr. Contracting Manager · (484) 338-3731 |
| Other names | Gaudenzia New Image; Gaudenzia New Image |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | March 10, 2022 |
| Mailing address | 106 W Main St, Norristown, PA 19401-4716 |
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