WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC NPI 1649535139

NPI Information

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC is a community based residential treatment facility mental illness in Bear Creek Township, PA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC NPI is 1649535139. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Counseling Service Of Nepa.

The provider's business location address is:

3504 BEAR CREEK BLVD
BEAR CREEK TOWNSHIP, PA
ZIP 18702-760
Phone: (570) 718-0833
Fax: (570) 552-3907

The provider's authorized official is Paula Lalor .
The authorized official title is Director/delegated Official and has the following contact phone number (629) 215-3953.

The CLIA number assigned to this NPI record is 39D2172820 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 4/30/2021.

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:

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