Organization · Type 2 NPI

Gaudenzia Inc

Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA

NPI number 1083743975 Active

Practice location

2100 W Venango St
Philadelphia, PA 19140-3937

Call (215) 438-5082 Map

Fax (215) 438-4159

Mailing address

106 W Main St
Norristown, PA 19401-4716

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000X807308 (PA)
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X807308 (PA)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1083743975

Gaudenzia Inc's National Provider Identifier is 1083743975, issued on Mar 5, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 21, 2021.