Organization
LUZERNE WYOMING COUNTY MH CENTER #1
Active
Parent organization
LUZERNE WYOMING COUNTY MH CENTER #1
Other names
Community Counseling Services of NEPA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUZERNE WYOMING COUNTY MH CENTER #1
Authorized official
JOSEPH H KNECHT (CEO)
(570) 552-3900
Entity
Organization
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
(570) 552-6020
Mailing address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
(570) 552-6020
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002080-0049
—
PA
Enumeration date
04/03/2007
Last updated
09/12/2008
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