OrganizationActive
Gaudenzia Drc Inc
NPI 1073736104 · Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1073736104
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Moyle, Dir. Fiscal & Corporate Operations(610) 239-9600
- License
- 800103 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
3200 Henry Ave
Philadelphia, PA 19129-1137
Phone: (215) 991-9700
Fax: (215) 991-9796
Approximate (ZIP-level) locationGet directions
Mailing address
106 W Main St
Norristown, PA 19401-4716
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.