Organization
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BOYLE (CEO)
(570) 825-6425
Entity
Organization
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 825-6425
Mailing address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 762-9013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007280110159
—
PA
Enumeration date
05/09/2025
Last updated
05/15/2026
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