Organization
REDCO GROUP, LLC
Active
Other names
Clarvida
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SOHOSKY (COO)
(570) 628-5215
Entity
Organization
Contact information
Practice address
564 MAIN ST, SECOND FLOOR, STROUDSBURG, PA 18360-2004
(570) 420-8070
Mailing address
564 MAIN ST, SECOND FLOOR, STROUDSBURG, PA 18360-2004
(570) 420-8070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
224590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017170471
—
PA
Enumeration date
04/16/2007
Last updated
07/12/2024
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