Gaudenzia INC
Clinic/Center, Rehabilitation, Substance Use Disorder in Owings Mills, MD. Organization (NPI-2).
NPI number1265645493
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1265645493
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaudenzia INC
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 903014 | MD | Yes |
Other names
- Gaudenzia INC At Owings Mills (Other Name)
Practice location
10225 Jensen LnOwings Mills, MD 21117-3700
Phone 410-887-1503 · Fax 410-887-1522
Mailing address
106 W Main StNorristown, PA 19401-4716
Phone 610-239-9600 · Fax 610-275-7025
Authorized official
Mike Williams
Sr. Contracting Manager
4843383731
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All 7 Substance Use Disorder Rehabilitation Clinic/Center providers in Owings Mills · All 2,571 providers in Owings Mills
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