Wilkes Barre Behavioral Hospital Company LLC
NPI #1093070583 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1093070583
- Entity Type
- Organization
- Organization Name
- Wilkes Barre Behavioral Hospital Company LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Apr 30, 2021
Practice Location
- Address
- 76 S DAWES AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5710
- Phone
- (570) 718-0833
Authorized Official
- Name
- PAULA LALOR
- Title
- DIRECTOR/DELEGATED OFFICIAL
- Phone
- (629) 215-3953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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