Organization
HISPANIC AMERICAN ORGANIZATION
Active
Other names
HAO Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
NEVILLE HOMI KOTWAL MD (DIRECTOR)
(610) 435-5334
Entity
Organization
Contact information
Practice address
462 W WALNUT ST., ALLENTOWN, PA 18102
(610) 435-5334
(610) 435-2131
Mailing address
462 W WALNUT ST., ALLENTOWN, PA 18102
(610) 435-5334
(610) 435-2331
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
206870
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
212390
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001275120004
—
PA
05
—
1001275120017
—
PA
Enumeration date
08/21/2006
Last updated
02/05/2025
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