OrganizationActive
Gaudenzia Inc
NPI 1366571317 · Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1366571317
- 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
- 807255 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
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
3025 N Broad St
Philadelphia, PA 19132-2404
Phone: (215) 223-1167
Fax: (215) 223-1928
Street-level locationGet directions
Mailing address
106 W Main St
Norristown, PA 19401-4716
Other names (DBA / former)
- Other name
- Gaudenzia Broad Street
- Other name
- Gaudenzia Broad Street
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.