Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA INC WEINBERG CENTER
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
3643 WOODLAND AVE, BALTIMORE, MD 21215-5512
(410) 367-5501
(410) 367-4447
Mailing address
106 W MAIN ST, 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
903022
MD
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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