| NPI | 1104532621 |
|---|---|
| Professional Name | PHILIP G GENTILE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |