Organization · Type 2 NPI

Gaudenzia Inc

Substance Use Disorder Rehabilitation Clinic/Center · Owings Mills, MD

NPI number 1265645493 Active

Practice location

10225 Jensen Ln
Owings Mills, MD 21117-3700

Call (410) 887-1503 Map

Fax (410) 887-1522

Mailing address

106 W Main St
Norristown, PA 19401-4716

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	903014 (MD)

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

Another provider at this address

Gaudenzia, IncSubstance Use Disorder Rehabilitation Clinic/Center Owings Mills, MD NPI 1871275222

Other substance use disorder rehabilitation clinic/center providers in Owings Mills

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NPI record

NPI: 1265645493
Entity type: Organization (Type 2)
Issued: May 7, 2007
Last updated: Jun 24, 2021
Status: Active

Other names

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Gaudenzia Inc at Owings Mills · other name
Gaudenzia Inc at Owings Mills · other name

Authorized official

Mike Williams
Sr. Contracting Manager
(484) 338-3731

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265645493

Gaudenzia Inc's National Provider Identifier is 1265645493, issued on May 7, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Owings Mills, MD. The record was last updated on Jun 24, 2021.