| Lehigh Valley Community Mental Health Center Inc | |
|
530 Ridge Ave Allentown PA 18102-5117 | |
| (484) 223-3112 | |
| (484) 221-9130 |
| Full Name | Lehigh Valley Community Mental Health Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 Ridge Ave, Allentown, Pennsylvania |
| Authorized Official Name and Position | Melissa Ann Chlebowski (CEO) |
| 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 Po Box 5349 Bethlehem PA 18015-0349 Ph: (484) 221-9136 | Lehigh Valley Community Mental Health Center Inc 530 Ridge Ave Allentown PA 18102-5117 Ph: (484) 223-3112 |
| NPI Number | 1538209564 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538209564 | NPI | - | NPPES |
| 0015772780010 | Medicaid | PA | |
| 1549067 | Other | PA | GATEWAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 242960 (Pennsylvania) | Primary |
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