Organization
GAUDENZIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. MOYLE J.D. (DIRECTOR OF FISCAL & CORP OPERATION)
(610) 239-9600
Entity
Organization
Contact information
Practice address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 239-9195
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 239-9195
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228589
—
PA
Enumeration date
11/04/2005
Last updated
02/11/2021
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