Organization
LUZERNE WYOMING COUNTY MH CENTER #1
Active
Other names
Community Counseling Services of NEPA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H KNECHT (CEO)
(570) 552-6000
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
22480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002080-0033
—
PA
Enumeration date
04/03/2007
Last updated
09/04/2008
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