Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA SIENA HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J MOYLE J.D. (DIR. FISCAL & CORPORATE OPERATIONS)
(610) 239-9600
Entity
Organization
Contact information
Practice address
128 EAST AZALEA DRIVE, GREEN BLDG., HARRISBURG, PA 17110
(717) 238-7455
(717) 238-8793
Mailing address
106 WEST MAIN STREET, 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
227082
PA
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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