Colonial Intermediate Unit 20
NPI #1417605452 in Shohola, Pennsylvania
Provider Information
- NPI Number
- 1417605452
- Entity Type
- Organization
- Organization Name
- Colonial Intermediate Unit 20
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 17, 2022
- Last Updated
- Mar 17, 2022
Practice Location
- Address
- 940 TWIN LAKES RD
- City
- Shohola
- State
- Pennsylvania
- ZIP Code
- 18458-4405
- Phone
- (610) 515-6439
Authorized Official
- Name
- JEN KOSIBA
- Title
- MEDICAL BILLING/RESOLVE OUTPATIENT
- Phone
- (610) 515-6439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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