| Organization Name: | CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES |
| NPI Number: | 1225447444 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL RIEGER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 10 Deisher Ln Kutztown |
| State: | PA US |
| Postal Code: | 195309288 |
| Phone Number: | 6109440445 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2014 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 204150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |