| Colonial Intermediate Unit 20 | |
|
1353 Jacobsburg Rd Wind Gap PA 18091-9716 | |
| (610) 515-6477 | |
| (610) 515-6457 |
| Full Name | Colonial Intermediate Unit 20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1353 Jacobsburg Rd, Wind Gap, Pennsylvania |
| Authorized Official Name and Position | Christopher Wolfel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6102525550 |
| 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 1353 Jacobsburg Rd Wind Gap PA 18091-9716 Ph: (610) 515-6477 |
| NPI Number | 1265554802 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265554802 | NPI | - | NPPES |
| 100754460 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 235100 (Pennsylvania) | Primary |
Pinebrook Family Answers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 S Broadway Ste 2, Wind Gap, PA 18091 Phone: 610-863-8151 | |
A Pathway To Healing Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 W 1st St Unit I, Wind Gap, PA 18091 Phone: 484-619-5988 Fax: 610-881-4158 |