| Colonial Intermediate Unit #20 | |
|
180 Panther Ln Pocono Summit PA 18346-7724 | |
| (610) 515-6439 | |
| (484) 291-4135 |
| Full Name | Colonial Intermediate Unit #20 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 180 Panther Ln, Pocono Summit, Pennsylvania |
| Authorized Official Name and Position | Jen Kosiba (ASST MGMT TO MEDICAL BILLING) |
| Authorized Official Contact | 6105156439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Intermediate Unit #20 6 Danforth Dr Easton PA 18045-7820 Ph: (610) 252-5550 | Colonial Intermediate Unit #20 180 Panther Ln Pocono Summit PA 18346-7724 Ph: (610) 515-6439 |
| NPI Number | 1225832306 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225832306 | NPI | - | NPPES |
| 1007544600 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Rose Resiliency Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2557 Route 940, Suite 102, Pocono Summit, PA 18346 Phone: 866-343-5509 Fax: 570-839-5392 | |
Aba Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Plaza Dr, Pocono Summit, PA 18346 Phone: 570-216-3900 |