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Gaudenzia Inc
Mental Illness Community Based Residential Treatment Facility in Philadelphia, Pennsylvania
NPI 1063721496

Gaudenzia Inc is a Mental Illness Community Based Residential Treatment Facility based in Norristown, PA. Gaudenzia Inc practices in Philadelphia, PA. The NPI Number for Gaudenzia Inc is 1063721496 and holds a License No. 104334 (Pennsylvania).

The current practice location address for Gaudenzia Inc is 1306 Spring Garden St, Philadelphia, PA and can be reached out via phone at 215-413-8264 and via fax at 215-413-8274.

Location: 1306 Spring Garden St, Philadelphia, PA, 19401-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063721496
Provider Name
Gaudenzia Inc
Credential
Provider Entity Type
Organization
Address
1306 Spring Garden St, Philadelphia, PA, 19401-4716
Phone Number
215-413-8264
Fax Number
215-413-8274
Provider Enumeration Date
10/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1002285890090 05 PA
institution
Provider Business Practice Location Address Details
Address
1306 Spring Garden St
City
Philadelphia
State
Pennsylvania
Zip
19123-3213
Phone Number
215-413-8264
Fax Number
215-413-8274
person
Provider Business Mailing Address Details
Address
1306 Spring Garden St
City
Philadelphia
State
Pennsylvania
Zip
19123-3213
Phone Number
215-413-8264
Fax Number
215-413-8274
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
104334 (Pennsylvania)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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