institution
Gaudenzia
Substance Use Disorder Rehabilitation Clinic/Center in Philadelphia, Pennsylvania
NPI 1922273564

Gaudenzia is a Substance Use Disorder Rehabilitation Clinic/Center based in Norristown, PA and is specialized in Rehabilitation, Substance Use Disorder. Gaudenzia practices in Philadelphia, PA. The NPI Number for Gaudenzia is 1922273564 and holds a License No. 807404 (Pennsylvania).

The current practice location address for Gaudenzia is 1834 W Tioga St, Philadelphia, PA and can be reached out via phone at 215-228-7595 and via fax at 215-965-7779.

Location: 1834 W Tioga St, Philadelphia, PA, 19401-4716
institution
Provider Profile Details
NPI Number
1922273564
Provider Name
Gaudenzia
Credential
Provider Entity Type
Organization
Address
1834 W Tioga St, Philadelphia, PA, 19401-4716
Phone Number
215-228-7595
Fax Number
215-965-7779
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1002285890071 05 PA
institution
Provider Business Practice Location Address Details
Address
1834 W Tioga St
City
State
Zip
19140-4939
Phone Number
215-228-7595
Fax Number
215-965-7779
person
Provider Business Mailing Address Details
Address
1834 W Tioga St
City
State
Zip
19140-4939
Phone Number
215-228-7595
Fax Number
215-965-7779
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
807404 (Pennsylvania)
Definition
Definition to come...
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