Provider Demographics
NPI:1336217991
Name:CAPITAL AREA INTERMEDIATE UNIT
Entity Type:Organization
Organization Name:CAPITAL AREA INTERMEDIATE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED ADMINISTRATION
Authorized Official - Phone:717-732-8400
Mailing Address - Street 1:55 MILLER STREET
Mailing Address - Street 2:
Mailing Address - City:SUMMERDALE
Mailing Address - State:PA
Mailing Address - Zip Code:17093-0489
Mailing Address - Country:US
Mailing Address - Phone:717-732-8400
Mailing Address - Fax:
Practice Address - Street 1:3540 N PROGRESS AVE
Practice Address - Street 2:SUITE 207/107
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9481
Practice Address - Country:US
Practice Address - Phone:717-732-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA324850261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health