Organization
LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER 1
Active
Other names
First Hospital Wyoming Valley
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KNECHT (PRESIDENT CEO)
(570) 552-3975
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
283Q00000X
Psychiatric Hospital
Primary
238650
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002080-0044
—
PA
Enumeration date
04/26/2007
Last updated
08/22/2020
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