Carbon Lehigh Intermediate Unit #21 | |
851 N 15th St Allentown PA 18102-1201 | |
(484) 894-1829 | |
(610) 871-6052 |
Full Name | Carbon Lehigh Intermediate Unit #21 |
---|---|
Speciality | Community/behavioral Health |
Location | 851 N 15th St, Allentown, Pennsylvania |
Authorized Official Name and Position | Elaine Eib (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 #21 851 N 15th St Allentown PA 18102-1201 Ph: (484) 894-1829 |
NPI Number | 1649496191 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 07/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649496191 | NPI | - | NPPES |
600016113 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 216190 (Pennsylvania) | Primary |
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