NPI 1477689842

Good Shepherd Corporation

Organisation Public Health or Welfare Agency Scranton, PA

Practice location

Address: 1327 Wyoming Ave, Scranton, PA 18509-2861
Phone: (570) 702-8360
Fax: (570) 702-8623

Authorised official

Name: John Antognoli
Title: Chief Executive Officer
Phone: (570) 702-8360

Registered specialties (5)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 000351062 (PA)

Other Public Health or Welfare providers in Pennsylvania →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 000351062 (PA)

Other Community/Behavioral Health providers in Pennsylvania →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 000351062 (PA)

Other Clinic/Center providers in Pennsylvania →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 000351062 (PA)

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence 000351062 (PA)

Registry record

NPI: 1477689842
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 15 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.