Organization
GAUDENZIA, INC.
Active
Other names
Joy of Living
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SENIOR CONTRACTING CONSULTANT)
(484) 338-3731
Entity
Organization
Contact information
Practice address
1516 WASHINGTON AVE, PHILADELPHIA, PA 19146-5007
(215) 985-1200
(215) 985-0370
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
807397
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
807397
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890064
—
PA
Enumeration date
03/15/2007
Last updated
03/12/2022
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