LUZERNE WYOMING CO MHC#1 NPI 1275654956

NPI Information

  • NPI: 1275654956
  • Provider Name: LUZERNE WYOMING CO MHC#1
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: CHOICES A DIVISION OF BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY
  • Address: 562 WYOMING AVE
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 552-3700

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NPI Details

LUZERNE WYOMING CO MHC#1 is a rehabilitation and substance use disorder clinic center in Kingston, PA. LUZERNE WYOMING CO MHC#1 NPI is 1275654956. The provider is registered as an organization entity type.
The provider Is Doing Business As Choices A Division Of Behavioral Health Services Of Wyoming Valley.

The provider's business location address is:

562 WYOMING AVE
KINGSTON, PA
ZIP 18704-721
Phone: (570) 552-3700

The provider's authorized official is Mary Edith Martin .
The authorized official title is Director Of All Choices Programs and has the following contact phone number (570) 552-3700.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderCW014765PENNSYLVANIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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