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General NPI Number Information
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NPI Number | 1336680941
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE NETWORK CLINIC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 530 N 7TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-2802
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Country | US
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Telephone | 267-554-7097
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Fax | 267-812-5414
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Provider Business Mailing Address
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Address Line | 530 N 7TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-2802
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Country | US
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Telephone | 610-200-5121
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Fax | 267-712-2729
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Authorized Official
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Title or Position | CEO
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Name | MRS. SAMIRA SEHAM YASIN
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Credential |
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Telephone | 267-201-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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