| Organization Name: | GAUDENZIA INC |
| NPI Number: | 1134536113 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL R COYLE (DIRECTOR ACCOUNTING & FINANCE) |
| Mailing Address: | 171 New Castle Ave Delaware City |
| State: | DE US |
| Postal Code: | 197067807 |
| Phone Number: | 3028368260 |
| Fax Number: | 3028348401 |
| NPI Enumeration Date: | 07/22/2014 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |