# WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
- **Other names:** Community Counseling Services of NEPA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417183310
- **Legal business name:** WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
- **Practice address phone:** (570) 552-6000
- **Practice address fax:** (570) 552-6020
- **Mailing address:** 562 WYOMING AVE, KINGSTON, PA 18704-3721
- **Mailing address phone:** (570) 552-3700
- **Mailing address fax:** (570) 552-3733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 222490 | PA | Yes |

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 04/26/2021