| Colonial Intermediate Unit 20 | |
|
800 Blue Mountain Drive Walnutport PA 18088-9211 | |
| (610) 767-1191 | |
| Not Available |
| Full Name | Colonial Intermediate Unit 20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 800 Blue Mountain Drive, Walnutport, 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 Rd Easton PA 18045-7820 Ph: (610) 252-5550 | Colonial Intermediate Unit 20 800 Blue Mountain Drive Walnutport PA 18088-9211 Ph: (610) 767-1191 |
| NPI Number | 1578685871 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578685871 | NPI | - | NPPES |
| 100754460 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 235100 (Pennsylvania) | Primary |
Alison Niblick Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4011 Schaeffer Dr, Walnutport, PA 18088 Phone: 484-714-0376 | |
Lehigh Valley Physical Therapy Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Best Ave, Walnutport, PA 18088 Phone: 610-760-1520 Fax: 610-760-1721 | |
Jessica Jewel Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4561 Lehigh Dr, Walnutport, PA 18088 Phone: 713-822-0658 | |
Saba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Blue Mountain Dr, Walnutport, PA 18088 Phone: 843-415-2100 |