Organization
GAUDENZIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
414 W 5TH ST, ERIE, PA 16507-1214
(814) 459-4775
(814) 453-6118
Mailing address
106 W MAIN ST STE 202, NORRISTOWN, PA 19401-4716
(610) 239-9600
(814) 616-6335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
251086
PA
324500000X
Substance Abuse Rehabilitation Facility
257046
PA
324500000X
Substance Abuse Rehabilitation Facility
257048
PA
324500000X
Substance Abuse Rehabilitation Facility
257079
PA
324500000X
Substance Abuse Rehabilitation Facility
257080
PA
324500000X
Substance Abuse Rehabilitation Facility
257081
PA
324500000X
Substance Abuse Rehabilitation Facility
257082
PA
324500000X
Substance Abuse Rehabilitation Facility
257083
PA
324500000X
Substance Abuse Rehabilitation Facility
437029
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018923880001
CCBHO
PA
05
—
0018923880001
—
PA
01
—
0815
BLUE CROSS BLUE SHEILD
PA
05
—
1018307530003
—
PA
01
—
459802
VALUE OPTIONS
PA
01
—
60054
AETNA
PA
01
—
VO543B
UPMC
PA
Enumeration date
10/20/2006
Last updated
10/30/2023
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