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Gaudenzia Inc
Substance Abuse Rehabilitation Facility in Erie, Pennsylvania
NPI 1922180652

Gaudenzia Inc is a Substance Abuse Rehabilitation Facility based in Norristown, PA. Gaudenzia Inc practices in Erie, PA. The NPI Number for Gaudenzia Inc is 1922180652 and holds a License No. (Pennsylvania).

The current practice location address for Gaudenzia Inc is 414 W 5Th St, Erie, PA and can be reached out via phone at 814-459-4775 and via fax at 814-453-6118.

Location: 414 W 5Th St, Erie, PA, 19401-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922180652
Provider Name
Gaudenzia Inc
Credential
Provider Entity Type
Organization
Address
414 W 5Th St, Erie, PA, 19401-4716
Phone Number
814-459-4775
Fax Number
814-453-6118
Provider Enumeration Date
10/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0815 01 PA BLUE CROSS BLUE SHEILD
459802 01 PA VALUE OPTIONS
VO543B 01 PA UPMC
0018923880001 05 PA
1018307530003 05 PA
60054 01 PA AETNA
0018923880001 01 PA CCBHO
institution
Provider Business Practice Location Address Details
Address
414 W 5Th St
City
Erie
State
Pennsylvania
Zip
16507-1214
Phone Number
814-459-4775
Fax Number
814-453-6118
person
Provider Business Mailing Address Details
Address
414 W 5Th St
City
Erie
State
Pennsylvania
Zip
16507-1214
Phone Number
814-459-4775
Fax Number
814-453-6118
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
251086 (Pennsylvania)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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