Organization · Type 2 NPI

Gaudenzia DRC Inc

Clinic/Center · Philadelphia, PA

NPI number 1043434608 Active

Practice location

3200 Henry Ave
Philadelphia, PA 19129-1137

Call (215) 991-9700 Map

Fax (215) 991-9796

Mailing address

106 W Main St
Norristown, PA 19401-4716

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X807384 (PA)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X807384 (PA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Other clinic/center providers in Philadelphia

See all in Philadelphia →

About NPI 1043434608

Gaudenzia DRC Inc's National Provider Identifier is 1043434608, issued on Apr 12, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 19, 2010.