NPIMap

Concern-Professional Services for Children, Youth & Families

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Wellsboro, PA

NPI 1205334307 · NPPES record last updated Jan 24, 2018

Key facts

NPI
1205334307
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
222440 (PA)
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Practice address
9 Nichols St
Wellsboro, PA 16901-1122
Phone
(570) 662-7600
NPI assigned
Jan 24, 2018
Organization subpart
No

Authorized official

Name
Gordon H May
Title
Executive Director
Phone
(610) 944-0445

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Concern Prof Serv for Child (135 organizations share this tax ID)

Locations

9 Nichols St
Wellsboro, PA 16901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 222440 PA Yes

Addresses

Primary practice location

9 Nichols St
Wellsboro, PA 16901-1122

Mailing address

1 W Main St
Fleetwood, PA 19522-1323
Phone (610) 944-0445

Other identifiers

IdentifierTypeStateIssuer
100006375MedicaidPA

Other providers in Wellsboro, PA

All providers in Wellsboro, PA · Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

Sources for this page

Verify at the official NPI Registry.