| NPI | 1548728520 |
|---|---|
| Doing Business As | GENNEW |
| Entity Type | Organization |
| Authorized Contact | THADDIEUS M SARPY Vice President / Clinical Director 857-293-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2026-04-02 |