# GOOD SHEPHERD CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477689842
- **Authorized official:** DR. JOHN ANTOGNOLI ED.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (570) 702-8360

## Contact information

- **Practice address:** 1327 WYOMING AVE, SCRANTON, PA 18509-2861
- **Practice address phone:** (570) 702-8360
- **Practice address fax:** (570) 702-8623
- **Mailing address:** 1327 WYOMING AVE, SCRANTON, PA 18509-2861
- **Mailing address phone:** (570) 702-8360
- **Mailing address fax:** (570) 702-8623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 000351062 | PA | Yes |
| 251S00000X | Community/Behavioral Health Agency | 000351062 | PA | — |
| 261Q00000X | Clinic/Center | 000351062 | PA | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 000351062 | PA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 000351062 | PA | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/15/2010