Organization
THE REDCO GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SOHOSKY (COO)
(570) 628-5215
Entity
Organization
Contact information
Practice address
603 W MARKET ST, POTTSVILLE, PA 17901-2810
(570) 628-4731
(570) 516-9448
Mailing address
16 S. CENTRE STREET, POTTSVILLE, PA 17901-3001
(570) 628-5234
(570) 628-9051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
203370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017170526
—
PA
Enumeration date
12/23/2005
Last updated
08/28/2019
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