Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA INC FRESH START
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
604 W 10TH ST, WILMINGTON, DE 19801-1424
(302) 737-4100
(302) 655-5030
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2003107929
DE
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
2003107929
DE
324500000X
Substance Abuse Rehabilitation Facility
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—
Other
Enumeration date
11/17/2008
Last updated
05/05/2021
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