Organization
NORTHBOUND & CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GENTILE LSW (PRESIDENT)
(570) 800-2466
Entity
Organization
Contact information
Practice address
6258 ROUTE 209, STROUDSBURG, PA 18360-7159
(570) 800-2466
Mailing address
6258 ROUTE 209, STROUDSBURG, PA 18360-7159
(570) 800-2466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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