Organization
CARBON LEHIGH INTERMEDIATE UNIT #21
Active
Organization
CARBON LEHIGH INTERMEDIATE UNIT #21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON T SAVENELLI LPC (SUPERVISOR)
(610) 769-4111
Entity
Organization
Contact information
Practice address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 769-4111
Mailing address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 769-4111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228870
OMHSAS
PA
Enumeration date
10/30/2020
Last updated
10/30/2020
Update your record
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