Organization
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON PISARCIK (CFO)
(570) 825-6425
Entity
Organization
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 301-3330
Mailing address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 301-3330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
100728011
PA
103T00000X
Psychologist
100728011
PA
1041C0700X
Clinical Social Worker
100728011
PA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
100728011
PA
2084P0804X
Child & Adolescent Psychiatry Physician
100728011
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728011
—
PA
Enumeration date
12/07/2005
Last updated
07/28/2020
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