Organization
GAUDENZIA INC.
Active
Other names
Gaudenzia Coatesville Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SENIOR CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
31 S 10TH AVE, COATESVILLE, PA 19320-3561
(610) 383-9600
(610) 383-4811
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
157063
PA
261Q00000X
Clinic/Center
Primary
157063
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890077
—
PA
05
—
1002285890078
—
PA
Enumeration date
01/26/2009
Last updated
03/28/2021
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