Organization
COLONIAL INTERMEDIATE UNIT 20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN KOSIBA (MEDICAL BILLING RESOLVE OUTPATIENT)
(610) 515-6439
Entity
Organization
Contact information
Practice address
252 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(610) 515-6439
Mailing address
6 DANFORTH DR, EASTON, PA 18045-7820
(610) 515-6439
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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