GAUDENZIA INC NPI 1265556443

NPI Information

  • NPI: 1265556443
  • Provider Name: GAUDENZIA INC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: GAUDENZIA TOGETHER HOUSE
  • Address: 1306 SPRING GARDEN ST
    PHILADELPHIA, PA
    ZIP 19123
  • Phone: (215) 238-2163

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NPI Details

GAUDENZIA INC is a rehabilitation and substance use disorder clinic center in Philadelphia, PA. GAUDENZIA INC NPI is 1265556443. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Together House.

The provider's business location address is:

1306 SPRING GARDEN ST
PHILADELPHIA, PA
ZIP 19123-213
Phone: (215) 238-2163
Fax: (215) 238-2171

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 3/16/2007 and was last updated on 3/10/2022.

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
1251S00000XCommunity/Behavioral Health807354PENNSYLVANIANo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder807354PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11002285890008MEDICAIDPENNSYLVANIA

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: 11/21/2025

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