# LUZERNE WYOMING COUNTY MH CENTER \#1

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUZERNE WYOMING COUNTY MH CENTER \#1
- **Other names:** Community Counseling Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558541441
- **Legal business name:** LUZERNE WYOMING COUNTY MH CENTER \#1
- **Authorized official:** JOSEPH H KNECHT (CEO)
- **Authorized official phone:** (570) 552-3977

## Contact information

- **Practice address:** 110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
- **Practice address phone:** (570) 552-6000
- **Practice address fax:** (570) 552-6021
- **Mailing address:** 562 WYOMING AVE, KINGSTON, PA 18704-3721
- **Mailing address phone:** (570) 552-3900
- **Mailing address fax:** (570) 552-3907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007