Concern-Professional Services For Children, Youth & Families
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wyalusing, PA. Organization (NPI-2).
NPI number1558089508
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1558089508
- Entity type
- Organization (NPI-2)
- Legal business name
- Concern-Professional Services For Children, Youth & Families
- Organization subpart
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
11364 Wyalusing New Albany RdWyalusing, PA 18853-8521
Phone 570-268-3073
Mailing address
1 W Main StFleetwood, PA 19522-1323
Phone 484-240-9272
Authorized official
Gordon H May
President/Ceo
4845789600
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