Carbon Lehigh Intermediate Unit #21 | |
709 W Emmaus Ave Allentown PA 18103-6778 | |
(484) 765-4308 | |
(484) 765-4325 |
Full Name | Carbon Lehigh Intermediate Unit #21 |
---|---|
Speciality | Community/behavioral Health |
Location | 709 W Emmaus Ave, 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 |
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Carbon Lehigh Intermediate Unit #21 4210 Independence Drive Schnecksville PA 18078-2580 Ph: (610) 769-4111 | Carbon Lehigh Intermediate Unit #21 709 W Emmaus Ave Allentown PA 18103-6778 Ph: (484) 765-4308 |
NPI Number | 1912123464 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912123464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 216190 (Pennsylvania) | Primary |
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