Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON H. MAY (EXECUTIVE DIRECTOR)
(610) 944-0445
Entity
Organization
Contact information
Practice address
110 ELLISON RD, ELKLAND, PA 16920-1207
(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
251S00000X
Community/Behavioral Health Agency
Primary
221310
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
222440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
04/28/2016
Last updated
05/08/2018
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