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Organization
THE REDCO GROUP, LLC
Active
Organization
THE REDCO GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM SOHOSKY (C.O.O.)
(570) 628-5215
Entity
Organization
Contact information
Practice address
210 S CENTRE ST, POTTSVILLE, PA 17901-3501
(570) 628-5215
(570) 624-4825
Mailing address
210 S CENTRE ST, POTTSVILLE, PA 17901-3501
(570) 628-5215
(570) 624-4825
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
385HR2050X
Respite Care Camp
—
NULL
Other
Enumeration date
05/22/2009
Last updated
08/28/2019
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