institution
Luzerne Wyoming County Mh Center #1
Mental Health Clinic/Center (Including Community Mental Health Center) in Kingston, Pennsylvania
NPI 1578684973

Luzerne Wyoming County Mh 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 Mh Center #1 practices in Kingston, PA. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1578684973 and holds a License No. 22480 (Pennsylvania).

The current practice location address for Luzerne Wyoming County Mh Center #1 is 562 Wyoming Ave, Kingston, PA and can be reached out via phone at 570-552-3900 and via fax at 570-552-3907.

Location: 562 Wyoming Ave, Kingston, PA, 18704-3721
institution
Provider Profile Details
NPI Number
1578684973
Provider Name
Luzerne Wyoming County Mh Center #1
Credential
Provider Entity Type
Organization
Address
562 Wyoming Ave, Kingston, PA, 18704-3721
Phone Number
570-552-3900
Fax Number
570-552-3907
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100002080-0036 05 PA
institution
Provider Business Practice Location Address Details
Address
562 Wyoming Ave
City
State
Zip
18704-3721
Phone Number
570-552-3900
Fax Number
570-552-3907
person
Provider Business Mailing Address Details
Address
562 Wyoming Ave
City
State
Zip
18704-3721
Phone Number
570-552-3900
Fax Number
570-552-3907
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.
22480 (Pennsylvania)
Definition
Definition to come...
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