Gaudenzia

LBN: Gaudenzia
Gaudenzia is an health care organization with primary practice located at 570 Ritchie Hwy Suite H, Severna Park MD 21146-2925. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Gaudenzia can be contacted via phone (410) 975-0067, or through Warren, Greg via phone (410) 367-5501.

Contact Information

Primary practice address
570 Ritchie Hwy Suite H Severna Park MD 21146-2925
Phone: (410) 975-0067
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warren, Greg MBA
Phone: (410) 367-5501

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1740652304
LBN Legal business name Gaudenzia
DBA Doing business as
Authorized official Warren, Greg MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740652304 NPPES
Maryland MEDICAID 4171233

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