| NPI | 1295181170 |
|---|---|
| Doing Business As | GAUDENZIA - GLEN BURNIE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | YOUTHFUL EDRINGTON Credential Coordinator 717-980-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-02-08 |