Organization
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
Active
Other names
Allentown State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES K. ROSENBERRY (CEO)
(610) 740-3401
Entity
Organization
Contact information
Practice address
1600 HANOVER AVE, ALLENTOWN, PA 18109-2408
(610) 740-3401
(610) 740-3275
Mailing address
1600 HANOVER AVE, ALLENTOWN, PA 18109-2408
(610) 740-3401
(610) 740-3413
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308518
—
PA
Enumeration date
11/18/2005
Last updated
01/05/2009
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