Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
CCS Psych Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
(570) 552-6020
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3700
(570) 552-3733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
222490
PA
Other
Enumeration date
06/08/2009
Last updated
04/10/2018
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