NPIMap

Concern-Professional Services for Children, Youth & Families

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

NPI 1780010587 · NPPES record last updated Feb 28, 2017

Key facts

NPI
1780010587
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
217 King St
Laporte, PA 18626-9800
Phone
(570) 268-3073
NPI assigned
Sep 25, 2013
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

217 King St
Laporte, PA 18626-9800

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
100006375MedicaidPA

Other providers in Laporte, PA

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

Sources for this page

Verify at the official NPI Registry.