Healthcare Provider Details

I. General information

NPI: 1750822219
Provider Name (Legal Business Name): CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N 25TH ST
READING PA
19606-2015
US

IV. Provider business mailing address

1 W MAIN ST
FLEETWOOD PA
19522-1323
US

V. Phone/Fax

Practice location:
  • Phone: 610-541-2309
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number204150
License Number StatePA

VIII. Authorized Official

Name: GORDON H. MAY
Title or Position: PRESIDENT/CEO
Credential:
Phone: 484-578-9600