# COLONIAL INTERMEDIATE UNIT 20

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154071108
- **Authorized official:** JEN KOSIBA (MEDICAL BILLING RESOLVE OUTPATIENT)
- **Authorized official phone:** (610) 515-6439

## Contact information

- **Practice address:** 252 ROUTE 6 AND 209, MILFORD, PA 18337-9454
- **Practice address phone:** (610) 515-6439
- **Mailing address:** 6 DANFORTH DR, EASTON, PA 18045-7820
- **Mailing address phone:** (610) 515-6439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2022
- **Last updated:** 03/24/2022