Organization
GAUDENZIA, INC.
Active
Other names
Gaudenzia - Family Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
4613 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6339
(410) 779-4071
(410) 664-0954
Mailing address
3643 WOODLAND AVE, BALTIMORE, MD 21215-5512
(410) 864-0674
(410) 367-1810
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
06/24/2021
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