Carbon Lehigh Intermediate Unit 21 | |
2840 State Route 903 Albrightsville PA 18210-3761 | |
(610) 769-4111 | |
Not Available |
Full Name | Carbon Lehigh Intermediate Unit 21 |
---|---|
Speciality | Community/behavioral Health |
Location | 2840 State Route 903, Albrightsville, Pennsylvania |
Authorized Official Name and Position | Elaine E Eib (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6107694111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carbon Lehigh Intermediate Unit 21 4210 Independence Dr Schnecksville PA 18078-2580 Ph: () - | Carbon Lehigh Intermediate Unit 21 2840 State Route 903 Albrightsville PA 18210-3761 Ph: (610) 769-4111 |
NPI Number | 1194025593 |
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Provider Enumeration Date | 11/01/2010 |
Last Update Date | 08/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194025593 | NPI | - | NPPES |
216190 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 216190 (Pennsylvania) | Primary |
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