| Gaudenzia Inc | |
|
4615 Park Heights Ave Baltimore MD 21215-6331 | |
| (443) 423-1500 | |
| (443) 423-1495 |
| Full Name | Gaudenzia Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 4615 Park Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Mike Williams (SR. CONTRACTING MANAGER) |
| Authorized Official Contact | 4843383731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaudenzia Inc 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Inc 4615 Park Heights Ave Baltimore MD 21215-6331 Ph: (443) 423-1500 |
| NPI Number | 1366656175 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366656175 | NPI | - | NPPES |
| 4171233 00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10478 (Maryland) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 12536 (Maryland) | Secondary |
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