Concern Professional Services for Children, Youth, & Families

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

NPI 1578829255 · NPPES record last updated Feb 27, 2017

Key facts

NPI
1578829255
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
1873 Shumway Hill Rd
Wellsboro, PA 16901-6840
Phone
(570) 724-7142
NPI assigned
Apr 6, 2012
Organization subpart
No

Authorized official

Name
Mr. 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.

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

1873 Shumway Hill Rd
Wellsboro, PA 16901-6840

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.