| Organization Name: | CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES |
| NPI Number: | 1780010587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL RIEGER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 217 King St Laporte |
| State: | PA US |
| Postal Code: | 18626 |
| Phone Number: | 5702683073 |
| Fax Number: | 5702683080 |
| NPI Enumeration Date: | 09/25/2013 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 222440 |
| 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: | |