Colonial Intermediate Unit 20, NPI 1083736367
Adolescent and Children Mental Health Clinic/Center in Stroudsburg, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1083736367
NPI Entity Type Organization
Provider Name Colonial Intermediate Unit 20
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1110 W Main St, Stroudsburg High School, Stroudsburg, PA, US
Provider Mailing Address 6 Danforth Dr, Easton, PA, US, 180457899
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. D. ED Christopher Wolfel
Official Position EXECUTIVE DIRECTOR
Phone 610-252-5550

Primary Taxonomy

Taxonomy Code

261QM0855X

Taxonomy Name Adolescent and Children Mental Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 235100
License State PA
Description An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Business Address

Colonial Intermediate Unit 20
1110 W Main St
Stroudsburg High School

Stroudsburg, PA, US

Phone: 610-515-6477
Fax: 610-515-6457

Mailing Address

Colonial Intermediate Unit 20
6 Danforth Dr
Easton, PA, US
ZIP 180457899
Phone: 610-252-5550
Fax: 610-515-6524

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1083736367 NPI 01
1007544600027 PA MEDICAID 05

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