NPI:
1487779294
Provider Name:
GAUDENZIA INC
Other Name: GAUDENZIA FOUNTAIN SPRINGS
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
95 BROAD ST
ASHLAND, PA
ZIP 17921
Phone:
(570) 875-4700
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GAUDENZIA INC is a rehabilitation and substance use disorder clinic center in Ashland, PA. GAUDENZIA INC NPI is 1487779294. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Fountain Springs.
The provider's business location address is:
95 BROAD ST
ASHLAND, PA
ZIP 17921-101
Phone: (570) 875-4700
Fax: (570) 875-4260
The provider's authorized official is Michael J Moyle .
The authorized official title is Dir. Fiscal & Corporate Operations and has the following contact phone number (610) 239-9600.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.