| Carbon Lehigh Intermediate Unit 21 | |
|
210 W Susquehanna St Allentown PA 18103-3435 | |
| (610) 769-4111 | |
| (610) 769-1250 |
| Full Name | Carbon Lehigh Intermediate Unit 21 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 W Susquehanna St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Elaine E 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 Dr Schnecksville PA 18078-2580 Ph: () - | Carbon Lehigh Intermediate Unit 21 210 W Susquehanna St Allentown PA 18103-3435 Ph: (610) 769-4111 |
| NPI Number | 1720396831 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720396831 | NPI | - | NPPES |
| 100773170 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 216190 (Pennsylvania) | Primary |
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