Gaudenzia Org
Gaudenzia Org is a Substance Abuse Rehabilitation Facility in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2013.
- Licensed in
- MD
- In the registry since
- 2013
Practice location Address checks out
4615 Park Heights AveBaltimore, MD 21215-6331
Phone: (410) 367-4447
Fax: (410) 367-4447
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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 904854 (MD) |
|---|
Record details
| NPI number | 1376886721 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Williams — Sr. Contracting Manager · (484) 338-3731 |
| NPI enumerated | April 4, 2013 |
| 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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