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Organization

CARBON LEHIGH INTERMEDIATE UNIT #21

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT J KEEGAN JR. (EXECUTIVE DIRECTOR)
(610) 768-4111
Entity
Organization

Contact information

Practice address
2936 CORPORATE CT, OREFIELD, PA 18069-3157
(610) 769-4111
Mailing address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
221340
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007731700002
PA
05
1007731700008
PA
05
1007731700015
PA
05
259912000
PA
05
259920000
PA
Enumeration date
03/12/2010
Last updated
03/12/2010
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