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401 N 17th St Ste 203 Allentown PA 18104-5050 | |
| (610) 969-2319 | |
| (610) 969-4332 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 N 17th St Ste 203, Allentown, Pennsylvania |
| Authorized Official Name and Position | Jennifer Stephens (SR VP & CHIEF VALUE OFFICER) |
| Authorized Official Contact | 4848844500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | 401 N 17th St Ste 203 Allentown PA 18104-5050 Ph: (610) 969-2319 |
| NPI Number | 1285276865 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285276865 | NPI | - | NPPES |
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