Organization
GYM-JAM THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL URBANO (CHIEF EXECUTIVE OFFICER)
(610) 466-5620
Entity
Organization
Contact information
Practice address
150 CHAMBERLAINE AVE, POTTSVILLE, PA 17901-8648
(570) 593-5484
Mailing address
150 CHAMBERLAINE AVE, POTTSVILLE, PA 17901-8648
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
01/13/2025
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