| Carbon Lehigh Intermediate Unit #21 | |
|
2936 Corporate Ct Orefield PA 18069-3157 | |
| (610) 769-4111 | |
| Not Available |
| Full Name | Carbon Lehigh Intermediate Unit #21 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2936 Corporate Ct, Orefield, Pennsylvania |
| Authorized Official Name and Position | Robert J Keegan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6107684111 |
| 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 2936 Corporate Ct Orefield PA 18069-3157 Ph: (610) 769-4111 |
| NPI Number | 1871816280 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 03/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871816280 | NPI | - | NPPES |
| 259912000 | Medicaid | PA | |
| 1007731700002 | Medicaid | PA | |
| 1007731700015 | Medicaid | PA | |
| 259920000 | Medicaid | PA | |
| 1007731700008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 221340 (Pennsylvania) | Primary |
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