Organization
LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1
Active
Parent organization
LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1
Other names
Community Counseling Svcs MRDD Transp
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1
Authorized official
MR. JOSEPH H KNECHT (CEO)
(570) 552-3900
Entity
Organization
Contact information
Practice address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3900
(570) 552-3907
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
222490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000020800060
—
PA
Enumeration date
02/25/2008
Last updated
02/25/2008
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