NPI 1093070583
Wilkes Barre Behavioral Hospital Company LLC
Practice location
- Address
- 76 S Dawes Ave, Kingston, PA 18704-5710
- Phone
- (570) 718-0833
- Mailing address
- 562 Wyoming Ave, Kingston, PA 18704-3721
Authorised official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1093070583
- Entity type
- Organization
- NPI issued
- 10 Jul 2012
- Record last updated
- 30 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.