Colonial Intermediate Unit 20 | |
114 W Morton St Bethlehem PA 18015-1636 | |
(610) 515-6477 | |
Not Available |
Full Name | Colonial Intermediate Unit 20 |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 114 W Morton St, Bethlehem, Pennsylvania |
Authorized Official Name and Position | Christopher Wolfel (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6102525550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Colonial Intermediate Unit 20 6 Danforth Rd Easton PA 18045-7899 Ph: (610) 252-5550 | Colonial Intermediate Unit 20 114 W Morton St Bethlehem PA 18015-1636 Ph: (610) 515-6477 |
NPI Number | 1356463657 |
---|---|
Provider Enumeration Date | 04/06/2007 |
Last Update Date | 11/02/2022 |
Certification Date | 02/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356463657 | NPI | - | NPPES |
100754460 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 235100 (Pennsylvania) | Primary |
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