institution
Gaudenzia
Substance Abuse Rehabilitation Facility in Baltimore, Maryland
NPI 1215256417

Gaudenzia is a Substance Abuse Rehabilitation Facility based in Baltimore, MD. Gaudenzia practices in Baltimore, MD. The NPI Number for Gaudenzia is 1215256417 and holds a License No. 903027 (Maryland).

The current practice location address for Gaudenzia is 4615 Park Heights Ave, Baltimore, MD and can be reached out via phone at 443-423-1500 and via fax at 443-423-1495. You can also correspond with Gaudenzia through the mailing address at 4615 PARK HEIGHTS AVE, BALTIMORE, MD - 21215-6331 (mailing address contact number: 443-423-1500).

Location: 4615 Park Heights Ave, Baltimore, MD, 21215-6331
institution
Provider Profile Details
NPI Number
1215256417
Provider Name
Gaudenzia
Credential
Provider Entity Type
Organization
Address
4615 Park Heights Ave, Baltimore, MD, 21215-6331
Phone Number
443-423-1500
Fax Number
443-423-1495
Provider Enumeration Date
05/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405006100 05 MD
institution
Provider Business Practice Location Address Details
Address
4615 Park Heights Ave
City
State
Zip
21215-6331
Phone Number
443-423-1500
Fax Number
443-423-1495
person
Provider Business Mailing Address Details
Address
4615 Park Heights Ave
City
State
Zip
21215-6331
Phone Number
443-423-1500
Fax Number
443-423-1495
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
903027 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
903027 (Maryland)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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