Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
Choices Program of Wyoming Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
LAURIE HOLTSFORD (DIRECTOR)
(615) 465-7466
Entity
Organization
Contact information
Practice address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3700
(570) 552-3733
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3700
(570) 552-3733
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
407030
PA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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