Organization
GAUDENZIA INC
Active
Organization
GAUDENZIA INC
Active
Other names
Gaudenzia Vision of Hope, Gaudenzia Vision of Hope
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS CHABAN CPA (CONTROLLER)
(610) 239-9600
Entity
Organization
Contact information
Practice address
18514 PENTECOSTAL ST, ELLENDALE, DE 19941-3358
(302) 836-8260
(302) 503-3155
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
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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