| The Redco Group, Llc. | |
|
603 W Market St Pottsville PA 17901-2810 | |
| (570) 628-4731 | |
| (570) 516-9448 |
| Full Name | The Redco Group, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 603 W Market St, Pottsville, 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 |
|---|---|
| The Redco Group, Llc. 16 S. Centre Street Pottsville PA 17901-3001 Ph: (570) 628-5234 | The Redco Group, Llc. 603 W Market St Pottsville PA 17901-2810 Ph: (570) 628-4731 |
| NPI Number | 1265419998 |
|---|---|
| Provider Enumeration Date | 12/23/2005 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265419998 | NPI | - | NPPES |
| 1000017170526 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 203370 (Pennsylvania) | Primary |
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