Organization
GAUDENZIA, INC.
Active
Other names
Gaudenzia - Glen Burnie Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
YOUTHFUL EDRINGTON (CREDENTIAL COORDINATOR)
(717) 980-1519
Entity
Organization
Contact information
Practice address
5 CRAIN HIGHWAY NORTH - REAR SUITE ENTRANCE, GLEN BURNIE, MD 21061
(443) 569-7950
(410) 367-1810
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-5512
(610) 239-9600
(610) 275-7020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
02/08/2023
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