# GAUDENZIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740652304
- **Authorized official:** GREG WARREN MBA (REGIONAL DIRECTOR)
- **Authorized official phone:** (410) 367-5501

## Contact information

- **Practice address:** 570 RITCHIE HWY, SUITE H, SEVERNA PARK, MD 21146-2925
- **Practice address phone:** (410) 975-0067
- **Mailing address:** 3643 WOODLAND AVE, BALTIMORE, MD 21215-5512
- **Mailing address phone:** (410) 367-5501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 10/22/2015