Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
Community Counseling Services of Northeastern Pennsylvania
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
LAURIE HOLTSFORD (DIRECTOR)
(615) 465-7466
Entity
Organization
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
Mailing address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3625
(570) 552-3907
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
220930
PA
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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