Wilkes Barre Behavioral Hospital Company LLC

NPI #1700012606 in Kingston, Pennsylvania

Provider Information

NPI Number
1700012606
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
Substance Abuse Rehabilitation Facility
Enumeration Date
Jun 5, 2009
Last Updated
Jun 5, 2009

Practice Location

Address
562 WYOMING AVE
ZIP Code
18704-3721
Phone
(570) 552-3700

Authorized Official

Name
LAURIE HOLTSFORD
Title
DIRECTOR
Phone
(615) 465-7466

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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