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Gaudenzia Drc Inc
Substance Use Disorder Rehabilitation Clinic/Center in Philadelphia, Pennsylvania
NPI 1043434608

Gaudenzia Drc Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Norristown, PA and is specialized in Rehabilitation, Substance Use Disorder. Gaudenzia Drc Inc practices in Philadelphia, PA. The NPI Number for Gaudenzia Drc Inc is 1043434608 and holds a License No. 807384 (Pennsylvania).

The current practice location address for Gaudenzia Drc Inc is 3200 Henry Ave, Philadelphia, PA and can be reached out via phone at 215-991-9700 and via fax at 215-991-9796.

Location: 3200 Henry Ave, Philadelphia, PA, 19401-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043434608
Provider Name
Gaudenzia Drc Inc
Credential
Provider Entity Type
Organization
Address
3200 Henry Ave, Philadelphia, PA, 19401-4716
Phone Number
215-991-9700
Fax Number
215-991-9796
Provider Enumeration Date
04/12/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019613780008 05 PA
institution
Provider Business Practice Location Address Details
Address
3200 Henry Ave
City
Philadelphia
State
Pennsylvania
Zip
19129-1137
Phone Number
215-991-9700
Fax Number
215-991-9796
person
Provider Business Mailing Address Details
Address
3200 Henry Ave
City
Philadelphia
State
Pennsylvania
Zip
19129-1137
Phone Number
215-991-9700
Fax Number
215-991-9796
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
807384 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
807384 (Pennsylvania)
Definition
Definition to come...
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