Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Parent organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Authorized official
GORDON H MAY (PRESIDENT/CEO)
(484) 578-9600
Entity
Organization
Contact information
Practice address
1040 BERK RD, LEESPORT, PA 19533-8700
(610) 371-8035
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(484) 240-9272
(570) 300-2326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
09/05/2024
Last updated
09/05/2024
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