| Central Susquehanna Intermediate Unit | |
|
801 Susquehanna Ave Sunbury PA 17801-1349 | |
| (570) 988-1840 | |
| (570) 988-2862 |
| Full Name | Central Susquehanna Intermediate Unit |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 801 Susquehanna Ave, Sunbury, Pennsylvania |
| Authorized Official Name and Position | Robert G Witten (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5705231155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Susquehanna Intermediate Unit Po Box 213 Lewisburg PA 17837-0213 Ph: (570) 523-1155 | Central Susquehanna Intermediate Unit 801 Susquehanna Ave Sunbury PA 17801-1349 Ph: (570) 988-1840 |
| NPI Number | 1457684896 |
|---|---|
| Provider Enumeration Date | 09/17/2009 |
| Last Update Date | 09/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457684896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 327430 (Pennsylvania) | Primary |
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