Organization
CAPITAL AREA INTERMEDIATE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY MORTON MS ED ADMINISTRATION (ASSISTANT EXECUTIVE DIRECTOR)
(717) 732-8400
Entity
Organization
Contact information
Practice address
3540 N PROGRESS AVE, SUITE 207/107, HARRISBURG, PA 17110-9481
(717) 732-8471
Mailing address
55 MILLER STREET, SUMMERDALE, PA 17093-0489
(717) 732-8400
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
324850
PA
Other
Enumeration date
12/01/2006
Last updated
11/21/2007
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