The Florence Child Guidance Center | |
402 N Fulton St Allentown PA 18102-2002 | |
(610) 432-3919 | |
(610) 432-5174 |
Full Name | The Florence Child Guidance Center |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 402 N Fulton St, Allentown, Pennsylvania |
Authorized Official Name and Position | Leslie Tenbroeck (VICE PRESIDENT) |
Authorized Official Contact | 6107741434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Florence Child Guidance Center 402 N Fulton St Allentown PA 18102-2002 Ph: (610) 432-3919 | The Florence Child Guidance Center 402 N Fulton St Allentown PA 18102-2002 Ph: (610) 432-3919 |
NPI Number | 1457536534 |
---|---|
Provider Enumeration Date | 01/08/2008 |
Last Update Date | 11/17/2020 |
Certification Date | 11/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457536534 | NPI | - | NPPES |
100759368 0013 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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