institution
Luzerne Wyoming County Mental Health Center #1
Mental Health Clinic/Center (Including Community Mental Health Center) in Wilkes Barre, Pennsylvania
NPI 1487774824

Luzerne Wyoming County Mental Health Center #1 is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Kingston, PA and is specialized in Mental Health (Including Community Mental Health Center). Luzerne Wyoming County Mental Health Center #1 practices in Wilkes Barre, PA. The NPI Number for Luzerne Wyoming County Mental Health Center #1 is 1487774824 and holds a License No. 222490 (Pennsylvania).

The current practice location address for Luzerne Wyoming County Mental Health Center #1 is 110 S Pennsylvania Ave, Wilkes Barre, PA and can be reached out via phone at 570-552-6000 and via fax at 570-552-6020.

Location: 110 S Pennsylvania Ave, Wilkes Barre, PA, 18704-3721
institution
Provider Profile Details
NPI Number
1487774824
Provider Name
Luzerne Wyoming County Mental Health Center #1
Credential
Provider Entity Type
Organization
Address
110 S Pennsylvania Ave, Wilkes Barre, PA, 18704-3721
Phone Number
570-552-6000
Fax Number
570-552-6020
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100002080-0022 05 PA
institution
Provider Business Practice Location Address Details
Address
110 S Pennsylvania Ave
City
State
Zip
18701-3301
Phone Number
570-552-6000
Fax Number
570-552-6020
person
Provider Business Mailing Address Details
Address
110 S Pennsylvania Ave
City
State
Zip
18701-3301
Phone Number
570-552-6000
Fax Number
570-552-6020
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
222490 (Pennsylvania)
Definition
Definition to come...
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