Colonial Intermediate Unit 20 | |
539 School Rd Nazareth PA 18064-9309 | |
(610) 515-6439 | |
Not Available |
Full Name | Colonial Intermediate Unit 20 |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 539 School Rd, Nazareth, Pennsylvania |
Authorized Official Name and Position | Christopher S Wolfel (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6105156403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Colonial Intermediate Unit 20 6 Danforth Dr Easton PA 18045-7820 Ph: (610) 515-6439 | Colonial Intermediate Unit 20 539 School Rd Nazareth PA 18064-9309 Ph: (610) 515-6439 |
NPI Number | 1851953145 |
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Provider Enumeration Date | 07/08/2019 |
Last Update Date | 02/09/2021 |
Certification Date | 02/09/2021 |
Identifier | Type | State | Issuer |
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1851953145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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