Organization
GAUDENZIA, INC.
Active
Parent organization
GAUDENZIA
Other names
Gaudenzia Montgomery County Op
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAUDENZIA
Authorized official
MIKE WILLIAMS (CONTRACT MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
166 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 279-4262
(610) 278-1658
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890109
—
PA
Enumeration date
04/24/2008
Last updated
05/18/2022
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