Organization
CONCERN-PROFESSIONAL SERVICE FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON H. MAY (EXECUTIVE DIRECTOR)
(610) 944-0445
Entity
Organization
Contact information
Practice address
60 N 8TH ST, LEWISBURG, PA 17837-1446
(570) 523-1297
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
352720
PA
251S00000X
Community/Behavioral Health Agency
218440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
01/19/2016
Last updated
03/01/2017
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