Organization
COLONIAL INTERMEDIATE UNIT 20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WOLFEL PHD (EXECUTIVE DIRECTOR)
(610) 515-6403
Entity
Organization
Contact information
Practice address
6 DANFORTH DR, EASTON, PA 18045-7899
(610) 555-5550
(610) 515-6457
Mailing address
6 DANFORTH DR, EASTON, PA 18045-7899
(610) 555-5550
(610) 515-6457
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
224320
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
224320
PA
Other
Enumeration date
09/19/2012
Last updated
02/09/2021
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