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
9 NICHOLS ST, WELLSBORO, PA 16901-1122
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
222440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
01/24/2018
Last updated
01/24/2018
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