Organization
COLONIAL INTERMEDIATE UNIT 20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER S WOLFEL (EXECUTIVE DIRECTOR)
(610) 515-6403
Entity
Organization
Contact information
Practice address
381 WASHINGTON BLVD, BANGOR, PA 18013-2745
(610) 515-6439
Mailing address
6 DANFORTH DR, EASTON, PA 18045-7820
(610) 515-6439
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
02/09/2021
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