# LEBANON COUNTY COMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lebanon Co MHMR EI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932324894
- **Authorized official:** MR. KEVIN J. SCHRUM (ADMINISTRATOR)
- **Authorized official phone:** (717) 274-3415

## Contact information

- **Practice address:** 220 E LEHMAN ST, EARLY INTERVENTION, LEBANON, PA 17046-3930
- **Practice address phone:** (717) 274-3415
- **Practice address fax:** (717) 274-0317
- **Mailing address:** 220 E LEHMAN ST, EARLY INTERVENTION, LEBANON, PA 17046-3930
- **Mailing address phone:** (717) 274-3415
- **Mailing address fax:** (717) 274-0317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000048620016 | — | PA |