| NPI | 1124834783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GENTILE President 570-800-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |