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LUZERNE WYOMING COUNTY MH CENTER #1 NPI 1689795080


NPI Information

NPI: 1689795080
Provider Name: LUZERNE WYOMING COUNTY MH CENTER #1

Doing Business As: CHOICES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
562 WYOMING AVE
KINGSTON, PA
ZIP 18704
Phone: (570) 552-3700
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LUZERNE WYOMING COUNTY MH CENTER #1 is a substance abuse rehabilitation facility in Kingston, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LUZERNE WYOMING COUNTY MH CENTER #1 NPI is 1689795080. The provider is registered as an organization entity type.
The provider Is Doing Business As Choices.

The provider's business location address is:

562 WYOMING AVE
KINGSTON, PA
ZIP 18704-721
Phone: (570) 552-3700
Fax: (570) 552-3733

The provider's authorized official is Joseph H Knecht .
The authorized official title is Ceo and has the following contact phone number (570) 552-3900.

The enumeration date for this NPI number is 4/3/2007 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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100002080-0056MEDICAIDPENNSYLVANIA

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: 5/5/2024

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