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65 E Elizabeth Ave Suite 900 Bethlehem PA 18018-6518 | |
| (610) 882-1355 | |
| (610) 882-3635 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 65 E Elizabeth Ave, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Sue Broderick Acklen (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6106252400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
65 E Elizabeth Ave Suite 900 Bethlehem PA 18018-6518 Ph: (610) 882-1355 | 65 E Elizabeth Ave Suite 900 Bethlehem PA 18018-6518 Ph: (610) 882-1355 |
| NPI Number | 1952425563 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952425563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Pennsylvania) | Primary |
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