| Northbound & Co | |
|
6258 Route 209 Stroudsburg PA 18360-7159 | |
| (570) 800-2466 | |
| Not Available |
| Full Name | Northbound & Co |
|---|---|
| Speciality | Peer Specialist |
| Location | 6258 Route 209, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Philip Gentile (PRESIDENT) |
| Authorized Official Contact | 5708002466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northbound & Co 6258 Route 209 Stroudsburg PA 18360-7159 Ph: (570) 800-2466 | Northbound & Co 6258 Route 209 Stroudsburg PA 18360-7159 Ph: (570) 800-2466 |
| NPI Number | 1124834783 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124834783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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