Organization
REDCO GROUP, LLC
Active
Other names
Clarvida
Organization subpart
No
Provider details
NPI number
Authorized official
CASSI GROUP (DIRECTOR OF OPERATIONS)
(412) 495-4374
Entity
Organization
Contact information
Practice address
10 BUIST RD, SUITE 202, MILFORD, PA 18337-9311
(570) 296-1138
(570) 296-3032
Mailing address
10 BUIST RD, SUITE 202, MILFORD, PA 18337-9311
(570) 296-1138
(570) 296-3032
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
206880
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017170569
—
PA
Enumeration date
12/15/2005
Last updated
03/13/2025
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