Organization Name: | REDCO GROUP |
NPI Number: | 1124100235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL BAINBRIDGE (VICE PRESIDENT) |
Mailing Address: | 16 South Centre Street Pottsville |
State: | PA US |
Postal Code: | 179012810 |
Phone Number: | 5706285234 |
Fax Number: | 5706289051 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |