# CENTRAL SUSQUEHANNA INTERMEDIATE UNIT

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

## Provider details

- **NPI number:** 1457684896
- **Authorized official:** DR. ROBERT G WITTEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (570) 523-1155

## Contact information

- **Practice address:** 801 SUSQUEHANNA AVE, SUNBURY, PA 17801-1349
- **Practice address phone:** (570) 988-1840
- **Practice address fax:** (570) 988-2862
- **Mailing address:** PO BOX 213, LEWISBURG, PA 17837-0213
- **Mailing address phone:** (570) 523-1155
- **Mailing address fax:** (570) 524-7104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 327430 | PA | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 09/17/2009
