| Redco Group, Llc | |
|
10 Buist Rd Suite 202 Milford PA 18337-9311 | |
| (570) 296-1138 | |
| (570) 296-3032 |
| Full Name | Redco Group, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 Buist Rd, Milford, Pennsylvania |
| Authorized Official Name and Position | Tim Sohosky (COO) |
| Authorized Official Contact | 5706285215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redco Group, Llc 10 Buist Rd Suite 202 Milford PA 18337-9311 Ph: (570) 296-1138 | Redco Group, Llc 10 Buist Rd Suite 202 Milford PA 18337-9311 Ph: (570) 296-1138 |
| NPI Number | 1497731137 |
|---|---|
| Provider Enumeration Date | 12/15/2005 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497731137 | NPI | - | NPPES |
| 1000017170569 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 206880 (Pennsylvania) | Primary |
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