Provider Demographics
NPI:1730332941
Name:CAPITAL AREA INTERMEDIAE UNIT
Entity type:Organization
Organization Name:CAPITAL AREA INTERMEDIAE UNIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-732-8400
Mailing Address - Street 1:6 DANFORTH DRIVE
Mailing Address - Street 2:COLONIAL INTERMEDAITE UNIT
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-7899
Mailing Address - Country:US
Mailing Address - Phone:610-515-6413
Mailing Address - Fax:
Practice Address - Street 1:1240 BOILING SPRINGS ROAD
Practice Address - Street 2:MONROE ELEMENTARY SCHOOL
Practice Address - City:BOILING SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:17007
Practice Address - Country:US
Practice Address - Phone:717-732-8484
Practice Address - Fax:717-732-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA326860261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health