| Concern-professional Services For Children, Youth & Families | |
|
133 Hannibal St Blossburg PA 16912-1148 | |
| (610) 944-0445 | |
| Not Available |
| Full Name | Concern-professional Services For Children, Youth & Families |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 133 Hannibal St, Blossburg, Pennsylvania |
| Authorized Official Name and Position | Gordon H May (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6109440445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concern-professional Services For Children, Youth & Families 1 W Main St Fleetwood PA 19522-1323 Ph: (610) 944-0445 | Concern-professional Services For Children, Youth & Families 133 Hannibal St Blossburg PA 16912-1148 Ph: (610) 944-0445 |
| NPI Number | 1740701507 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 07/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740701507 | NPI | - | NPPES |
| 100006375 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 222440 (Pennsylvania) | Primary |