Organization
REDCO GROUP, LLC
Active
Other names
Clarvida
Organization subpart
No
Provider details
NPI number
Authorized official
CASSI GROUP (COO)
(412) 496-4374
Entity
Organization
Contact information
Practice address
16 SOUTH CENTRE STREET, POTTSVILLE, PA 17901
(570) 628-5234
(570) 628-9051
Mailing address
16 S CENTRE ST, 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
203110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017170169
—
PA
Enumeration date
12/13/2005
Last updated
03/13/2025
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