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CHILDREN'S SERVICE CENTER OF WYOMING VALLEY NPI 1609090893


NPI Information

NPI: 1609090893
Provider Name: CHILDREN'S SERVICE CENTER OF WYOMING VALLEY
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
335 S FRANKLIN ST
WILKES BARRE, PA
ZIP 18702
Phone: (570) 825-6425
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CHILDREN'S SERVICE CENTER OF WYOMING VALLEY is a community behavioral health in Wilkes Barre, PA. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHILDREN'S SERVICE CENTER OF WYOMING VALLEY NPI is 1609090893. The provider is registered as an organization entity type.

The provider's business location address is:

335 S FRANKLIN ST
WILKES BARRE, PA
ZIP 18702-808
Phone: (570) 825-6425
Fax: (570) 301-3330

The provider's authorized official is Barry Simmons .
The authorized official title is Vp Finance and has the following contact phone number (570) 825-6427.

The enumeration date for this NPI number is 4/12/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health1007280110001PENNSYLVANIAYes
2261QM0855XClinic/CenterAdolescent and Children Mental Health1007280110001PENNSYLVANIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007280110001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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