Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
Community Cousenling Service of NE PA
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
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 823-0070
(570) 823-0123
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
222930
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022885770016
—
PA
Enumeration date
06/08/2009
Last updated
04/09/2018
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