| Colonial Iu 20 | |
|
Pen Argyl Area High School 501 West Laurel Ave Pen Argyl PA 18072 | |
| (610) 515-6440 | |
| Not Available |
| Full Name | Colonial Iu 20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | Pen Argyl Area High School, Pen Argyl, Pennsylvania |
| Authorized Official Name and Position | Christopher S Wolfel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6102525550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Iu 20 6 Danforth Drive Easton PA 18045-7899 Ph: (610) 252-5550 | Colonial Iu 20 Pen Argyl Area High School 501 West Laurel Ave Pen Argyl PA 18072 Ph: (610) 515-6440 |
| NPI Number | 1043498272 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043498272 | 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: 1620 Teels Rd, Pen Argyl, PA 18072 Phone: 610-515-6439 |