Organization · Type 2 NPI

Wilkes Barre Behavioral Hospital Company LLC

Mental Illness Community Based Residential Treatment Facility · Kingston, PA

NPI number 1093070583 Active

Practice location

76 S Dawes Ave
Kingston, PA 18704-5710

Call (570) 718-0833 Map

Mailing address

562 Wyoming Ave
Kingston, PA 18704-3721

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	221020 (PA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Another provider at this address

Allied Health Care ServicesCommunity/Behavioral Health Agency Kingston, PA NPI 1124635271

Other mental illness community based residential treatment facility providers in Kingston

Institute for Human Resources and Services, Inc.Mental Illness Community Based Residential Treatment Facility Kingston, PA NPI 1508985466

See all in Kingston →

NPI record

NPI: 1093070583
Entity type: Organization (Type 2)
Issued: Jul 10, 2012
Last updated: Apr 30, 2021
Status: Active
Subpart: Yes of Wilkes Barre Behavioral Hospital Company LLC

Other names

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Community Residential Rehab #1 · doing business as
Community Residential Rehab #1 · doing business as

Authorized official

Paula Lalor
Director/delegated Official
(629) 215-3953

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About NPI 1093070583

Wilkes Barre Behavioral Hospital Company LLC's National Provider Identifier is 1093070583, issued on Jul 10, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Kingston, PA. The record was last updated on Apr 30, 2021.