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Organization

PINEBROOK FAMILY ANSWERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE TENBROECK (VP)
(610) 774-1434
Entity
Organization

Contact information

Practice address
16 S BROADWAY STE 2, WIND GAP, PA 18091-1431
(610) 863-8151
Mailing address
402 N FULTON ST, ALLENTOWN, PA 18102-2002
(610) 432-3919

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
PC003866
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/23/2016
Last updated
11/17/2020
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