The Redco Group, LLC.
Community/Behavioral Health in Pottsville, PA. Organization (NPI-2).
NPI number1124100235
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1124100235
- Entity type
- Organization (NPI-2)
- Legal business name
- The Redco Group, LLC.
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Clarvida (Doing Business As)
Practice location
16 South Centre StreetPottsville, PA 17901-2810
Phone 570-628-5234 · Fax 570-628-9051
Mailing address
16 S. Centre St.Pottsville, PA 17901
Phone 570-628-5234 · Fax 570-628-5299
Authorized official
Tim Sohosky
Coo
5706285234
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