Organization
GAUDENZIA INC.
Active
Other names
GAUDENZIA GIBSON HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (CONTRACT MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
907 GIBSON BLVD, HARRISBURG, PA 17113-1860
(717) 564-0427
(717) 564-0501
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
327810
PA
Other
Enumeration date
02/05/2010
Last updated
06/02/2021
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