| Colonial Intermediate Unit 20 | |
|
1620 Teels Rd Pen Argyl PA 18072-9734 | |
| (610) 515-6439 | |
| Not Available |
| Full Name | Colonial Intermediate Unit 20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1620 Teels Rd, Pen Argyl, 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 |
|---|---|
| Colonial Intermediate Unit 20 6 Danforth Dr Easton PA 18045-7820 Ph: () - | Colonial Intermediate Unit 20 1620 Teels Rd Pen Argyl PA 18072-9734 Ph: (610) 515-6439 |
| NPI Number | 1922660505 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922660505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Colonial Iu 20 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Pen Argyl Area High School, 501 West Laurel Ave, Pen Argyl, PA 18072 Phone: 610-515-6440 |