Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH, & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON H. MAY (DIRECTOR OF BEHAVIORAL HEALTH)
(610) 944-0445
Entity
Organization
Contact information
Practice address
434 MARKET ST, SUITE 205, LEWISBURG, PA 17837-2403
(570) 522-0990
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
218440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
05/06/2011
Last updated
02/28/2017
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