| Concern-professional Services For Children, Youth & Families | |
|
11364 Wyalusing New Albany Rd Wyalusing PA 18853-8521 | |
| (570) 268-3073 | |
| Not Available |
| Full Name | Concern-professional Services For Children, Youth & Families |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11364 Wyalusing New Albany Rd, Wyalusing, Pennsylvania |
| Authorized Official Name and Position | Gordon H May (PRESIDENT/CEO) |
| Authorized Official Contact | 4845789600 |
| 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: (484) 240-9272 | Concern-professional Services For Children, Youth & Families 11364 Wyalusing New Albany Rd Wyalusing PA 18853-8521 Ph: (570) 268-3073 |
| NPI Number | 1558089508 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558089508 | NPI | - | NPPES |
| 100006375 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Concern-professional Services For Children, Youth & Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11450 Wyalusing New Albany Rd, Wyalusing, PA 18853 Phone: 570-268-3073 | |
Holli Caine Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Main Street, Wyalusing, PA 18853 Phone: 570-746-6003 |