| NPI | 1073768123 |
|---|---|
| Other Name | GAUDENZIA INC FRESH START |
| Entity Type | Organization |
| Authorized Contact | MIKE WILLIAMS Sr Contracting Manager 484-338-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DE 2003107929) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: DE 2003107929) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2021-05-05 |