Organization
CHILDREN'S SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY SIMMONS (VP FINANCE)
(570) 825-6425
Entity
Organization
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 301-3330
Mailing address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 301-3330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100728011
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1007280110003
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007280110003
—
PA
Enumeration date
04/23/2007
Last updated
09/11/2025
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