Colonial Intermediate Unit #20
NPI #1114814019 in Tobyhanna, Pennsylvania
Provider Information
- NPI Number
- 1114814019
- Entity Type
- Organization
- Organization Name
- Colonial Intermediate Unit #20
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Jun 23, 2025
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 780 MEMORIAL BLVD
- City
- Tobyhanna
- State
- Pennsylvania
- ZIP Code
- 18466-7788
- Phone
- (610) 515-6439
Authorized Official
- Name
- JEN KOSIBA
- Title
- ASST MGMT FOR BILLING
- Phone
- (610) 515-6439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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