NPI 1063721496

Gaudenzia INC

Organisation Mental Illness Community Based Residential Treatment Facility Philadelphia, PA

Practice location

Address: 1306 Spring Garden St, Philadelphia, PA 19123-3213
Phone: (215) 413-8264
Fax: (215) 413-8274
Mailing address: 106 W Main St, Norristown, PA 19401-4716

Authorised official

Name: Mike Williams
Title: Sr. Contracting Manager
Phone: (484) 338-3731

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 104334 (PA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Pennsylvania →

Registry record

NPI: 1063721496
Entity type: Organization
NPI issued: 4 Oct 2010
Record last updated: 10 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.