Luzerne Wyoming County Mh Center #1
NPI #1700066628 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1700066628
- 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
- Psychologist
- 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 KNECHT
- Title
- CEO
- Phone
- (570) 552-3977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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