OrganizationActive
Gaudenzia Inc
NPI 1629295076 · Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1629295076
- 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
- 807204 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
701 North 63rd Street
Philadelphia, PA 19151
Phone: (215) 477-0063
Fax: (215) 477-3318
Approximate (ZIP-level) locationGet directions
Mailing address
106 West Main Street
Norristown, PA 19401-4716
Other names (DBA / former)
- Other name
- Gaudenzia Focus House
Registry dates
- Enumerated
- 2007-04-19
- 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.