Organization
CARBON LEHIGH IU 21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BENZ (PROGRAM SUPERVISOR)
(610) 769-4111
Entity
Organization
Contact information
Practice address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 769-4111
(610) 769-1098
Mailing address
4210 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2580
(610) 769-4111
(610) 769-1098
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007731700004
—
PA
Enumeration date
05/13/2008
Last updated
05/13/2008
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