Carbon Lehigh Intermediate Unit #21 | |
750 Saint John St Allentown PA 18103-3262 | |
(484) 765-5978 | |
Not Available |
Full Name | Carbon Lehigh Intermediate Unit #21 |
---|---|
Speciality | Community/behavioral Health |
Location | 750 Saint John St, Allentown, Pennsylvania |
Authorized Official Name and Position | Robert J. Keegan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6107694111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carbon Lehigh Intermediate Unit #21 4210 Independence Drive Schnecksville PA 18078-2580 Ph: (610) 769-4111 | Carbon Lehigh Intermediate Unit #21 750 Saint John St Allentown PA 18103-3262 Ph: (484) 765-5978 |
NPI Number | 1356567804 |
---|---|
Provider Enumeration Date | 04/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356567804 | NPI | - | NPPES |
1007731700003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 216230 (Pennsylvania) | Primary |
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