Wilkes Barre Behavioral Hospital Company LLC
NPI #1073842936 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1073842936
- Entity Type
- Organization
- Organization Name
- Wilkes Barre Behavioral Hospital Company LLC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 23, 2009
- Last Updated
- Dec 23, 2009
Practice Location
- Address
- 562 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3721
- Phone
- (570) 552-3700
Authorized Official
- Name
- LAURIE HOLTSFORD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (615) 465-7466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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