Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA INC AT OWINGS MILLS
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
10225 JENSEN LN, OWINGS MILLS, MD 21117-3700
(410) 887-1503
(410) 887-1522
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
903014
MD
Other
Enumeration date
05/07/2007
Last updated
06/24/2021
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