Gaudenzia Inc.
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Harrisburg, PA
NPI 1225360951 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1225360951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 327810 (PA)
- Legal business name
- GAUDENZIA INC.
- Practice address
- 907 Gibson Blvd
Harrisburg, PA 17113-1860 - Phone
- (717) 564-0427
- Fax
- (717) 564-0501
- NPI assigned
- Feb 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Mike Williams
- Title
- Contract Manager
- Phone
- (484) 338-3731
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Gaudenzia
Locations
907 Gibson Blvd
Steelton, PA 17113
Phone (717) 564-0427
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 327810 | PA | Yes |
Addresses
Primary practice location
907 Gibson Blvd
Harrisburg, PA 17113-1860
Mailing address
106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600
Other names
- GAUDENZIA GIBSON HOUSE
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.