Organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON H MAY (PRESIDENT/CEO)
(610) 944-0445
Entity
Organization
Contact information
Practice address
2258 CHARLESTON RD, WELLSBORO, PA 16901-8472
(570) 724-7142
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006375
—
PA
Enumeration date
06/16/2020
Last updated
06/16/2020
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