| Gaudenzia Inc Fresh Start | |
|
604 W 10th St Wilmington DE 19801-1424 | |
| (302) 737-4100 | |
| (302) 655-5030 |
| Full Name | Gaudenzia Inc Fresh Start |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 604 W 10th St, Wilmington, Delaware |
| Authorized Official Name and Position | Mike Williams (SR CONTRACTING MANAGER) |
| Authorized Official Contact | 4843383731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaudenzia Inc Fresh Start 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Inc Fresh Start 604 W 10th St Wilmington DE 19801-1424 Ph: (302) 737-4100 |
| NPI Number | 1073768123 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073768123 | NPI | - | NPPES |
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