Wilkes-Barre Behavioral Hospital Company LLC
NPI #1427292622 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1427292622
- Entity Type
- Organization
- Organization Name
- Wilkes-Barre Behavioral Hospital Company LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 1, 2009
- Last Updated
- Jan 25, 2022
Practice Location
- Address
- 562 WYOMING AVE
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-3721
- Phone
- (570) 552-3865
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SENIOR DIRECTOR PROVIDER ENROLLMENT
- Phone
- (877) 892-9815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Psychologist - Clinical — Clinical |
| Social Worker |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Physician Assistant |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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