Organization
COLONIAL INTERMEDIATE UNIT 20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WOLFEL D. ED. (EXECUTIVE DIRECTOR)
(610) 252-5550
Entity
Organization
Contact information
Practice address
1002 WEST UNION BLVD, BETHLEHEM, PA 18018-3509
(610) 515-6439
Mailing address
6 DANFORTH DR, EASTON, PA 18045-7820
(610) 515-6439
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
235100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007544600003
—
PA
Enumeration date
09/07/2017
Last updated
09/06/2022
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