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Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 823-0070
(570) 823-0123
Mailing address
562 WYOMING AVE, WILKES BARRE, PA 18704-3721
(570) 552-3700
(570) 552-3733
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
222480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022885770010
—
PA
Enumeration date
06/05/2009
Last updated
04/11/2018
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