Provider Demographics
NPI:1225153000
Name:HORTENSIUS, LTD.
Entity Type:Organization
Organization Name:HORTENSIUS, LTD.
Other - Org Name:LEHIGH VALLEY DRUG AND ALCOHOL INTAKE UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-923-0394
Mailing Address - Street 1:100 NORTH 3RD ST.
Mailing Address - Street 2:STE 401
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042
Mailing Address - Country:US
Mailing Address - Phone:610-923-0398
Mailing Address - Fax:610-923-0397
Practice Address - Street 1:100 NORTH 3RD ST.
Practice Address - Street 2:STE 401
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042
Practice Address - Country:US
Practice Address - Phone:610-923-0398
Practice Address - Fax:610-923-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare