institution
Gaudenzia Inc
Substance Use Disorder Rehabilitation Clinic/Center in Baltimore, Maryland
NPI 1366656175

Gaudenzia Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Norristown, MD and is specialized in Rehabilitation, Substance Use Disorder. Gaudenzia Inc practices in Baltimore, MD. The NPI Number for Gaudenzia Inc is 1366656175 and holds a License No. 10478 (Maryland).

The current practice location address for Gaudenzia Inc 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.

Location: 4615 Park Heights Ave, Baltimore, MD, 19401-4716
institution
Provider Profile Details
NPI Number
1366656175
Provider Name
Gaudenzia Inc
Credential
Provider Entity Type
Organization
Address
4615 Park Heights Ave, Baltimore, MD, 19401-4716
Phone Number
443-423-1500
Fax Number
443-423-1495
Provider Enumeration Date
05/10/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4171233 00 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
-
Taxonomy
License No.
12536 (Maryland)
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
License No.
10478 (Maryland)
Definition
Definition to come...
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