Organization
CARBON LEHIGH INTERMEDIATE UNIT #21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. KEEGAN JR. (EXECUTIVE DIRECTOR)
(610) 769-4111
Entity
Organization
Contact information
Practice address
750 SAINT JOHN ST, ALLENTOWN, PA 18103-3262
(484) 765-5978
Mailing address
4210 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078-2580
(610) 769-4111
(610) 769-1250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
216230
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007731700003
—
PA
Enumeration date
04/17/2007
Last updated
08/22/2020
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