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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