Organization
SCHUYLKILL INTERMEDIATE UNIT 29
Active
Other names
COUNSEL HOUSE BEHAVIORAL HEALTH PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD ACHENBACH PHD (EXECUTIVE DIRECTOR)
(570) 544-9131
Entity
Organization
Contact information
Practice address
17 MAPLE AVENUE, MARLIN, PA 17951
(570) 544-9186
(570) 544-9189
Mailing address
17 MAPLE AVENUE, MARLIN, PA 17951-1300
(570) 544-9186
(570) 544-9189
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
211160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003065780007
MEDICAL ASSISTANCE
PA
Enumeration date
02/05/2007
Last updated
08/22/2020
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