Colonial Intermediate Unit 20
NPI #1700536760 in Matamoras, Pennsylvania
Provider Information
- NPI Number
- 1700536760
- Entity Type
- Organization
- Organization Name
- Colonial Intermediate Unit 20
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 24, 2022
- Last Updated
- Mar 24, 2022
Practice Location
- Address
- 500 AVENUE S
- City
- Matamoras
- State
- Pennsylvania
- ZIP Code
- 18336-1649
- Phone
- (610) 515-6439
Authorized Official
- Name
- JEN KOSIBA
- Title
- MEDICAL BILLER RESOLVE OUTPATIENT
- Phone
- (610) 515-6439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center |
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