Organization
LEHIGH COUNTY MHMR PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J TIM BOYER (ADMINISTRATOR)
(610) 782-3551
Entity
Organization
Contact information
Practice address
17 S 7TH ST, LEHIGH CTY GVT CENTER, ALLENTOWN, PA 18101-2401
(610) 782-3000
Mailing address
17 S 7TH ST, LEHIGH CTY GVT CENTER, ALLENTOWN, PA 18101-2401
(610) 782-3000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007238
—
PA
05
—
1000072380048
—
PA
Enumeration date
02/07/2007
Last updated
07/07/2009
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