NPIMap

Concern-Professional Services for Children, Youth & Families

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

NPI 1558089508 · NPPES record last updated Aug 16, 2022

Key facts

NPI
1558089508
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Practice address
11364 Wyalusing New Albany Rd
Wyalusing, PA 18853-8521
Phone
(570) 268-3073
NPI assigned
Aug 16, 2022
Organization subpart
No

Authorized official

Name
Gordon H May
Title
President/Ceo
Phone
(484) 578-9600

Corporate family (same tax ID) 24

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

National Provider Directory

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

Locations

11364 Wyalusing New Albany Rd
Wyalusing, PA 18853
Phone (570) 268-3073

Specialties & licenses

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

Addresses

Primary practice location

11364 Wyalusing New Albany Rd
Wyalusing, PA 18853-8521

Mailing address

1 W Main St
Fleetwood, PA 19522-1323
Phone (484) 240-9272

Other identifiers

IdentifierTypeStateIssuer
100006375MedicaidPA

Other providers in Wyalusing, PA

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

Sources for this page

Verify at the official NPI Registry.