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Luzerne Wyoming County Mh Center #1
Substance Abuse Rehabilitation Facility in Kingston, Pennsylvania
NPI 1689795080

Luzerne Wyoming County Mh Center #1 is a Substance Abuse Rehabilitation Facility based in Kingston, PA. Luzerne Wyoming County Mh Center #1 practices in Kingston, PA. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1689795080 and holds a License No. (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 570-552-3700 and via fax at 570-552-3733.

Location: 562 Wyoming Ave, Kingston, PA, 18704-3721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689795080
Provider Name
Luzerne Wyoming County Mh Center #1
Credential
Provider Entity Type
Organization
Address
562 Wyoming Ave, Kingston, PA, 18704-3721
Phone Number
570-552-3700
Fax Number
570-552-3733
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100002080-0056 05 PA
institution
Provider Business Practice Location Address Details
Address
562 Wyoming Ave
City
Kingston
State
Pennsylvania
Zip
18704-3721
Phone Number
570-552-3700
Fax Number
570-552-3733
person
Provider Business Mailing Address Details
Address
562 Wyoming Ave
City
Kingston
State
Pennsylvania
Zip
18704-3721
Phone Number
570-552-3700
Fax Number
570-552-3733
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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