Provider Demographics
NPI:1013409762
Name:CULTURE2CULTURE, INC.
Entity Type:Organization
Organization Name:CULTURE2CULTURE, INC.
Other - Org Name:CULTURE2CULTURE PEER SUPPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF CULTURING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:PERHONITCH
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:570-728-7522
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:FRIEDENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17933-0018
Mailing Address - Country:US
Mailing Address - Phone:570-728-7522
Mailing Address - Fax:
Practice Address - Street 1:110 E ARCH ST FL 1
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901
Practice Address - Country:US
Practice Address - Phone:570-728-7522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA175T00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty