| Colonial Intermediate Unit#20 | |
|
6 Danforth Drive Easton PA 18045-7899 | |
| (610) 252-5550 | |
| (610) 515-6590 |
| Full Name | Colonial Intermediate Unit#20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6 Danforth Drive, Easton, Pennsylvania |
| Authorized Official Name and Position | Christopher Wolfel (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 6105156403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Intermediate Unit#20 6 Danforth Drive Easton PA 18045-7899 Ph: (610) 252-5550 | Colonial Intermediate Unit#20 6 Danforth Drive Easton PA 18045-7899 Ph: (610) 252-5550 |
| NPI Number | 1093821928 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093821928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 235100 (Pennsylvania) | Primary |
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