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Organization

THE REDCO GROUP, LLC.

Active
Other names
Clarvida
Organization subpart
No

Provider details

NPI number
Authorized official
TIM SOHOSKY (COO)
(570) 628-5234
Entity
Organization

Contact information

Practice address
16 SOUTH CENTRE STREET, POTTSVILLE, PA 17901-2810
(570) 628-5234
(570) 628-9051
Mailing address
16 S. CENTRE ST., POTTSVILLE, PA 17901
(570) 628-5234
(570) 628-5299

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000017170545
PA
Enumeration date
10/19/2006
Last updated
09/17/2024
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