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GAUDENZIA INC NPI 1508389875


NPI Information

NPI: 1508389875
Provider Name: GAUDENZIA INC

Other Name: GAUDENZIA COMMONGROUND

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 39D1098195

Address:
3740 CHAMBERS HILL RD
HARRISBURG, PA
ZIP 17111
Phone: (717) 238-5553
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GAUDENZIA INC is a substance abuse rehabilitation facility in Harrisburg, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GAUDENZIA INC NPI is 1508389875. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Commonground.

The provider's business location address is:

3740 CHAMBERS HILL RD
HARRISBURG, PA
ZIP 17111-510
Phone: (717) 238-5553
Fax: (717) 232-7362

The provider's authorized official is Michael Coyle .
The authorized official title is Director Of Fiscal & Accounting and has the following contact phone number (610) 293-9600.

The CLIA number assigned to this NPI record is 39D1098195 - other - community based org with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 7/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility227036PENNSYLVANIAYes

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: 4/28/2024

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