Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON MAY (EXECUTIVE DIRECTOR)
(610) 944-0445
Entity
Organization
Contact information
Practice address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
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
204150
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
204150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002117374
HIGHMARK BLUE SHIELD
—
05
—
100006375
—
PA
01
—
50086408
CAPITAL BLUE CROSS
—
Enumeration date
02/14/2007
Last updated
12/14/2016
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