NPI: 1366571317
Provider Name: GAUDENZIA INC
Other Name: GAUDENZIA BROAD STREET
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
3025 N BROAD ST
PHILADELPHIA, PA
ZIP 19132
Phone: (215) 223-1167
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GAUDENZIA INC is a rehabilitation and substance use disorder clinic center in Philadelphia, PA. GAUDENZIA INC NPI is 1366571317. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Broad Street.
The provider's business location address is:
3025 N BROAD ST
PHILADELPHIA, PA
ZIP 19132-404
Phone: (215) 223-1167
Fax: (215) 223-1928
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 3/5/2007 and was last updated on 3/10/2022.