| Carbon Lehigh Intermediate #21 | |
|
770 State Rd Lehighton PA 18235-2857 | |
| (610) 769-4111 | |
| (610) 769-1168 |
| Full Name | Carbon Lehigh Intermediate #21 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 770 State Rd, Lehighton, Pennsylvania |
| Authorized Official Name and Position | Mark Scott (DIRECTOR) |
| Authorized Official Contact | 6107694111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Lehigh Intermediate #21 4210 Independence Drive Schnecksville PA 18078-2580 Ph: (610) 769-4111 | Carbon Lehigh Intermediate #21 770 State Rd Lehighton PA 18235-2857 Ph: (610) 769-4111 |
| NPI Number | 1205050945 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205050945 | NPI | - | NPPES |
| 100773170-0020 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Program Of Wellness, Empowerment, And Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S. 1st Street, Lehighton, PA 18235 Phone: 610-377-3940 Fax: 610-377-4026 | |
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Concern-processional Services For Children, Youth & Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Country Club Rd, Lehighton, PA 18235 Phone: 610-944-0445 | |
Carbon Lehigh Intermediate Unit #21 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Beaver Run Rd, Lehighton, PA 18235 Phone: 610-826-6243 Fax: 610-826-2280 |