Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
Community Residential Rehab #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
76 S DAWES AVE, KINGSTON, PA 18704-5710
(570) 718-0833
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3865
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
221020
PA
Other
Enumeration date
07/10/2012
Last updated
04/30/2021
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