NPI: 1922273564
Provider Name: GAUDENZIA
Other Name: GAUDENZIA WINNER PROGRAM
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1834 W TIOGA ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 228-7595
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GAUDENZIA is a rehabilitation and substance use disorder clinic center in Philadelphia, PA. GAUDENZIA NPI is 1922273564. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Winner Program.
The provider's business location address is:
1834 W TIOGA ST
PHILADELPHIA, PA
ZIP 19140-939
Phone: (215) 228-7595
Fax: (215) 965-7779
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 4/24/2008 and was last updated on 3/10/2022.