| Colonial Intermediate Unit 20 | |
|
231 Pocono Mt School Rd Swiftwater PA 18370-0200 | |
| (610) 515-6477 | |
| (610) 515-6457 |
| Full Name | Colonial Intermediate Unit 20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 231 Pocono Mt School Rd, Swiftwater, 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 18045-7899 Ph: (610) 252-5550 | Colonial Intermediate Unit 20 231 Pocono Mt School Rd Swiftwater PA 18370-0200 Ph: (610) 515-6477 |
| NPI Number | 1023232972 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023232972 | NPI | - | NPPES |
| 100754460 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 235100 (Pennsylvania) | Primary |
Colonial Intermediate Unit 20 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Center Court, Swiftwater, PA 18370 Phone: 570-839-0820 |