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Organization

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
Choices Program of Wyoming Valley
Organization subpart
Yes

Provider details

NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization

Contact information

Practice address
307 LAIRD ST, WILKES BARRE, PA 18702-6915
(570) 552-6000
(570) 552-6020
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3900
(570) 552-3907

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
407052
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022885770008
PA
Enumeration date
06/04/2009
Last updated
04/26/2021
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