Concern-professional Services For Children, Youth & Families | |
50 Trexler Ave Kutztown PA 19530-9700 | |
(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 | 50 Trexler Ave, Kutztown, 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 50 Trexler Ave Kutztown PA 19530-9700 Ph: (610) 944-0445 |
NPI Number | 1124427349 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 02/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124427349 | NPI | - | NPPES |
002682569 | Other | PA | HIGHMARK BLUE SHIELD |
100006375 | Medicaid | PA | |
02328700 | Other | PA | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 204150 (Pennsylvania) | Primary |
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