| Lehigh Valley Community Mental Health Center, Inc | |
|
530 N 7th St Allentown PA 18102-2802 | |
| (484) 221-9136 | |
| (484) 221-9130 |
| Full Name | Lehigh Valley Community Mental Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 N 7th St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Patricia Eroh (BILLING DIRECTOR) |
| Authorized Official Contact | 4842219136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Community Mental Health Center, Inc 2030 W Tilghman St Suite 105b Allentown PA 18104-4354 Ph: (484) 221-9136 | Lehigh Valley Community Mental Health Center, Inc 530 N 7th St Allentown PA 18102-2802 Ph: (484) 221-9136 |
| NPI Number | 1336451087 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 07/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336451087 | NPI | - | NPPES |
| 001577278 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 242960 (Pennsylvania) | Primary |
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