| 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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