Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON MAY (PRESIDENT/CEO)
(484) 578-9600
Entity
Organization
Contact information
Practice address
130 CEDAR ST, SAYRE, PA 18840-1439
(570) 340-0655
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(484) 240-9272
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
09/13/2022
Last updated
09/13/2022
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