OrganizationActive
Gaudenzia Inc
NPI 1083743975 · Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1083743975
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Williams, Sr. Contracting Manager(484) 338-3731
- License
- 807308 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Practice location
2100 W Venango St
Philadelphia, PA 19140-3937
Phone: (215) 438-5082
Fax: (215) 438-4159
Approximate (ZIP-level) locationGet directions
Mailing address
106 W Main St
Norristown, PA 19401-4716
Other names (DBA / former)
- Other name
- Gaudenzia Re-Entry House
- Other name
- Gaudenzia Re-Entry House
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.