OrganizationActive
Gaudenzia Inc
NPI 1336263755 · Substance Use Disorder Rehabilitation Clinic/Center · Lancaster, PA
Provider details
- NPI number
- 1336263755
- 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
- 367044 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
208 E King St
Lancaster, PA 17602-2927
Phone: (717) 291-1020
Fax: (717) 293-9064
Approximate (ZIP-level) locationGet directions
Mailing address
106 W Main St
Norristown, PA 19401-4716
Other names (DBA / former)
- Other name
- Gaudenzia Vantage House
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2023-02-06
- Certified
- 2023-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.