Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON H. MAY (EXECUTIVE DIRECTOR)
(610) 944-0445
Entity
Organization
Contact information
Practice address
50 TREXLER AVE, KUTZTOWN, PA 19530-9700
(610) 944-0445
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
204150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002682569
HIGHMARK BLUE SHIELD
PA
01
—
02328700
CAPITAL BLUE CROSS
PA
05
—
100006375
—
PA
Enumeration date
08/14/2014
Last updated
02/24/2017
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