| Concern-professional Services For Children, Youth & Families | |
|
526 Panther Ln Rome PA 18837-7892 | |
| (570) 662-7600 | |
| Not Available |
| Full Name | Concern-professional Services For Children, Youth & Families |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 526 Panther Ln, Rome, Pennsylvania |
| Authorized Official Name and Position | Gordon H May (PRESIDENT/CEO) |
| Authorized Official Contact | 6109440445 |
| 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: (610) 944-0445 | Concern-professional Services For Children, Youth & Families 526 Panther Ln Rome PA 18837-7892 Ph: (570) 662-7600 |
| NPI Number | 1003586280 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003586280 | NPI | - | NPPES |
| 10006375 | 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: 210 Panther Ln, Rome, PA 18837 Phone: 570-662-7600 |