Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON H MAY (PRESIDENT/CEO)
(610) 944-0445
Entity
Organization
Contact information
Practice address
526 PANTHER LN, ROME, PA 18837-7892
(570) 662-7600
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10006375
—
PA
Enumeration date
09/17/2021
Last updated
09/17/2021
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