Organization Name: | CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES |
NPI Number: | 1972912350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL RIEGER (EXECUTIVE DIRECTOR) |
Mailing Address: | 40 Normal Ave Kutztown |
State: | PA US |
Postal Code: | 195301729 |
Phone Number: | 6109440445 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2014 |
NPI Last Update Date: | 08/11/2014 |
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: |