GAUDENZIA INC NPI 1265645493

NPI Information

NPI: 1265645493
Provider Name: GAUDENZIA INC

Other Name: GAUDENZIA INC AT OWINGS MILLS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 21D2204828

Address:
10225 JENSEN LN
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 887-1503
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GAUDENZIA INC is a rehabilitation and substance use disorder clinic center in Owings Mills, MD. GAUDENZIA INC NPI is 1265645493. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Inc At Owings Mills.

The provider's business location address is:

10225 JENSEN LN
OWINGS MILLS, MD
ZIP 21117-700
Phone: (410) 887-1503
Fax: (410) 887-1522

The provider's authorized official is Mike Williams .
The authorized official title is Sr. Contracting Manager and has the following contact phone number (484) 338-3731.

The CLIA number assigned to this NPI record is 21D2204828 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 6/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	903014	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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