Organization · Type 2 NPI
Colonial Intermediate Unit 20
Adolescent and Children Mental Health Clinic/Center · Brodheadsville, PA
Practice location
Route 209, Pleasant Valley High School
Brodheadsville, PA 18322-9715
Fax (610) 515-6457
Mailing address
6 Danforth Rd
Easton, PA 18045-7820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 235100 (PA) |
Adolescent and Children Mental Health Clinic/Center: 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.
4 other providers at this address
- Frank Gary Romascavage DoGeneral Practice Physician Brodheadsville, PA NPI 1487830634
- My Family DoctorFamily Medicine Physician Brodheadsville, PA NPI 1881712297
- David H. Pierce, DDSGeneral Practice Dentistry Brodheadsville, PA NPI 1639248933
- Frank Gary Romascavage, DOGeneral Practice Physician Brodheadsville, PA NPI 1164535423
About NPI 1295017770
Colonial Intermediate Unit 20's National Provider Identifier is 1295017770, issued on Sep 12, 2011. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Brodheadsville, PA. The record was last updated on Feb 9, 2021.