Organization
SG HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKE RYAN GEMZIK (PRESIDENT & CEO)
(570) 905-3322
Entity
Organization
Contact information
Practice address
116 S MAIN ST, WILKES BARRE, PA 18701-1606
(570) 905-3322
Mailing address
2 W NORTHAMPTON ST, WILKES BARRE, PA 18701-1708
(570) 905-3322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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