Organization · Type 2 NPI

Gaudenzia Inc

Substance Use Disorder Rehabilitation Clinic/Center · West Chester, PA

NPI number 1689708513 Active

Practice location

1030 S Concord Rd
West Chester, PA 19382-7407

Call (610) 399-6929 Map

Fax (610) 399-3464

Mailing address

106 W Main St
Norristown, PA 19401-4716

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	152089 (PA)
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	152089 (PA)

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

Another provider at this address

Gaudenzia IncSubstance Use Disorder Rehabilitation Clinic/Center West Chester, PA NPI 1932233061

Other substance use disorder rehabilitation clinic/center providers in West Chester

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NPI record

NPI: 1689708513
Entity type: Organization (Type 2)
Issued: Mar 15, 2007
Last updated: May 8, 2021
Status: Active

Other names

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Gaudenzia House West Chester · other name
Gaudenzia House West Chester · other name

Authorized official

Mike Williams
Sr. Contract 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 1689708513

Gaudenzia Inc's National Provider Identifier is 1689708513, issued on Mar 15, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in West Chester, PA. The record was last updated on May 8, 2021.