Organization
PINEBROOK FAMILY ANSWERS
Active
Other names
The Florence Child Guidance Center
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE TENBROECK (VP)
(610) 774-1434
Entity
Organization
Contact information
Practice address
1101 NORTHAMPTON ST STE 201, EASTON, PA 18042-4152
(610) 559-8151
(610) 559-9056
Mailing address
402 N FULTON ST, ALLENTOWN, PA 18102-2002
(610) 432-3919
(610) 432-5174
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
204540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000570
CCBH
PA
05
—
100759368
—
PA
01
—
265638000
MAGELLAN - ALLENTOWN SITE
PA
01
—
29-1501260
CBHNP
PA
01
—
802495000
MAGELLAN - EASTON SITE
PA
Enumeration date
11/15/2006
Last updated
11/17/2020
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