Gaudenzia INC
NPI #1063721496 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1063721496
- Entity Type
- Organization
- Organization Name
- Gaudenzia INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 4, 2010
- Last Updated
- Mar 10, 2022
Practice Location
- Address
- 1306 SPRING GARDEN ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19123-3213
- Phone
- (215) 413-8264
Authorized Official
- Name
- MIKE WILLIAMS
- Title
- SR. CONTRACTING MANAGER
- Phone
- (484) 338-3731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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