Organization
CENTRAL SUSQUEHANNA INTERMEDIATE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G WITTEN (EXECUTIVE DIRECTOR)
(570) 523-1155
Entity
Organization
Contact information
Practice address
801 SUSQUEHANNA AVE, SUNBURY, PA 17801-1349
(570) 988-1840
(570) 988-2862
Mailing address
PO BOX 213, LEWISBURG, PA 17837-0213
(570) 523-1155
(570) 524-7104
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
327430
PA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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