Gaudenzia Crownsville Outpatient

LBN: Gaudenzia Inc
Gaudenzia Crownsville Outpatient is an health care organization with primary practice located at 107 Circle Dr , Crownsville MD 21032-2061. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Gaudenzia Inc can be contacted via phone (443) 598-6900, or through Williams, Mike via phone (484) 338-3731.

Contact Information

Primary practice address
107 Circle Dr Crownsville MD 21032-2061
Phone: (443) 598-6900
Fax: (410) 923-6781
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mike
Phone: (484) 338-3731

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1386164242
LBN Legal business name Gaudenzia Inc
DBA Doing business as Gaudenzia Crownsville Outpatient
Authorized official Williams, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2017
Last updated Jun 24th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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