Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA OUTREACH II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J MOYLE J.D. (DIR. OF FISCAL & CORPORATE OPERATIO)
(610) 239-9600
Entity
Organization
Contact information
Practice address
39 E SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-2234
(215) 849-7200
(215) 849-0134
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807339
PA
261Q00000X
Clinic/Center
807339
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890002
—
PA
05
—
1002285890003
—
PA
05
—
1002285890006
—
PA
05
—
1002285890059
—
PA
Enumeration date
03/13/2007
Last updated
09/11/2025
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