Luzerne Wyoming County Mh Center #1

NPI #1609056522 in Kingston, Pennsylvania

Provider Information

NPI Number: 1609056522
Entity Type: Organization
Organization Name: Luzerne Wyoming County Mh Center #1
Subpart: Yes (part of a larger organization)
Parent Organization: LUZERNE WYOMING COUNTY MH CENTER #1
Primary Specialty: Social Worker
Enumeration Date: Nov 8, 2007
Last Updated: Nov 8, 2007

Practice Location

Address: 562 WYOMING AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-3721
Phone: (570) 552-3900

Authorized Official

Name: JOSEPH H KNECHT
Title: CEO
Phone: (570) 552-3977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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