Organization
CARBON LEHIGH INTERMEDIATE UNIT 21
Active
Organization
CARBON LEHIGH INTERMEDIATE UNIT 21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE E EIB (EXECUTIVE DIRECTOR)
(610) 769-4111
Entity
Organization
Contact information
Practice address
2840 STATE ROUTE 903, ALBRIGHTSVILLE, PA 18210-3761
(610) 769-4111
Mailing address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
216190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216190
—
PA
Enumeration date
11/01/2010
Last updated
08/28/2012
Update your record
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