Organization
LUZERNE WYOMING COUNTY MH CENTER #1
Active
Other names
Community Counseling Services of NEPA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H KNECHT (CEO)
(570) 552-3900
Entity
Organization
Contact information
Practice address
99 BRIDGE ST, TUNKHANNOCK, PA 18657-1303
(570) 836-3118
(570) 836-1117
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3900
(570) 552-3907
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002080-0005
—
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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