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Organization

LEHIGH COUNTY MHMR PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. J TIM BOYER (ADMINISTRATOR)
(610) 782-3551
Entity
Organization

Contact information

Practice address
17 S 7TH ST, LEHIGH COUNTY GVMT CENTER, ALLENTOWN, PA 18101-2401
(610) 782-3000
Mailing address
17 S 7TH ST, LEHIGH COUNTY GVMT CENTER, ALLENTOWN, PA 18101-2401
(610) 782-3000

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
201850
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000072380002
PA
05
1000072380023
PA
05
1000072380032
PA
Enumeration date
01/08/2007
Last updated
07/07/2009
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