GAUDENZIA INC NPI 1073768123

NPI Information

  • NPI: 1073768123
  • Provider Name: GAUDENZIA INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: GAUDENZIA INC FRESH START
  • Address: 604 W 10TH ST
    WILMINGTON, DE
    ZIP 19801
  • Phone: (302) 737-4100

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NPI Details

GAUDENZIA INC is a mental health (including community mental health center) clinic center in Wilmington, DE. GAUDENZIA INC NPI is 1073768123. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Inc Fresh Start.

The provider's business location address is:

604 W 10TH ST
WILMINGTON, DE
ZIP 19801-424
Phone: (302) 737-4100
Fax: (302) 655-5030

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 enumeration date for this NPI number is 11/17/2008 and was last updated on 5/5/2021.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2003107929DELAWAREYes
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder2003107929DELAWARENo
3324500000XSubstance Abuse Rehabilitation FacilityNo

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: 3/30/2025

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