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Organization

COLONIAL INTERMEDIATE UNIT 20

Active
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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
940 TWIN LAKES RD, SHOHOLA, PA 18458-4405
(610) 515-6439
Mailing address
6 DANFORTH DR, EASTON, PA 18045-7820
(610) 515-6439
(610) 515-6457

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/17/2022
Last updated
03/17/2022
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