Wilkes Barre Behavioral Hospital Company LLC
NPI #1235365131 in Shavertown, Pennsylvania
Provider Information
- NPI Number
- 1235365131
- 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
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jun 5, 2009
- Last Updated
- Apr 26, 2021
Practice Location
- Address
- 176 N MAIN ST
- City
- Shavertown
- State
- Pennsylvania
- ZIP Code
- 18708-1121
- Phone
- (570) 255-2082
Authorized Official
- Name
- PAULA LALOR
- Title
- DIRECTOR/DELEGATED OFFICIAL
- Phone
- (629) 215-3953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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