Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA KINDRED HOPUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
1030 S CONCORD RD, WEST CHESTER, PA 19382-7407
(610) 399-6571
(610) 399-0950
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
157039
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
157039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890045
—
PA
05
—
1002285890046
—
PA
Enumeration date
03/14/2007
Last updated
03/10/2022
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