Organization
GAUDENZIA INC
Active
Other names
Gaudenzia CommonGround
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COYLE CPA (DIRECTOR OF FISCAL & ACCOUNTING)
(610) 293-9600
Entity
Organization
Contact information
Practice address
3740 CHAMBERS HILL RD, HARRISBURG, PA 17111-1510
(717) 238-5553
(717) 232-7362
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
227036
PA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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