Organization
LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1
Active
Organization
LUZERNE WYOMING COUNTY MENTAL HEALTH CENTER #1
Active
Other names
Behavioral Health Services of Wyoming Valley
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H KNECHT (CEO)
(570) 552-3900
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
—
1000020800044
—
PA
Enumeration date
07/09/2006
Last updated
10/25/2007
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