Organization · Type 2 NPI

Gaudenzia Inc

Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA

NPI number 1629295076 Active

Practice location

701 North 63rd Street
Philadelphia, PA 19151

Call (215) 477-0063 Map

Fax (215) 477-3318

Mailing address

106 West Main Street
Norristown, PA 19401-4716

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X807204 (PA)

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

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About NPI 1629295076

Gaudenzia Inc's National Provider Identifier is 1629295076, issued on Apr 19, 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 22, 2016.