Organization · Type 2 NPI

Restorative Roots Wilkes-Barre, LLC

Community/Behavioral Health Agency · Edwardsville, PA

NPI number 1124987482 Active

Practice location

786 Main St
Edwardsville, PA 18704-1762

Mailing address

453 Arena Hub Plz # 1053
Wilkes Barre, PA 18702-6839

Other practice locations

  • 114 Orchard St, Plymouth, PA 18651-1628 · (570) 338-5911
  • 788 Main St, Edwardsville, PA 18704-1762 · (570) 338-5911
  • 334 N Main St, Wilkes Barre, PA 18702-4410 · (570) 338-5911

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1124987482

Restorative Roots Wilkes-Barre, LLC's National Provider Identifier is 1124987482, issued on Jan 21, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Edwardsville, PA. The record was last updated on Feb 5, 2026.