OrganizationActive
Gaudenzia Inc
NPI 1174741821 · Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1174741821
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Coyle, Dir. Fiscal & Accounting Operations(610) 239-9600
- License
- 176280 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 Spring Garden Street
Philadelphia, PA 19123
Phone: (215) 440-9669
Fax: (215) 440-9122
Street-level locationGet directions
Mailing address
106 West Main Street
Norristown, PA 19401-4716
Other names (DBA / former)
- Other name
- Gaudenzia New Beginnings
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2016-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.