| Organization Name: | GAUDENZIA INC. |
| NPI Number: | 1225360951 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J MOYLE (DIRECTOR OF FISCAL & CORPORATE OPER) |
| Mailing Address: | 907 Gibson Blvd. Steelton |
| State: | PA US |
| Postal Code: | 17113 |
| Phone Number: | 7175640427 |
| Fax Number: | 7175640501 |
| NPI Enumeration Date: | 02/05/2010 |
| NPI Last Update Date: | 02/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 327810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |