WILKES BARRE TREATMENT LLC NPI 1740780279

NPI Information

NPI: 1740780279
Provider Name: WILKES BARRE TREATMENT LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1100 E NORTHAMPTON ST
LAUREL RUN, PA
ZIP 18706
Phone: (954) 533-7705
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WILKES BARRE TREATMENT LLC is a substance abuse rehabilitation facility in Laurel Run, 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. WILKES BARRE TREATMENT LLC NPI is 1740780279. The provider is registered as an organization entity type.

The provider's business location address is:

1100 E NORTHAMPTON ST
LAUREL RUN, PA
ZIP 18706-520
Phone: (954) 533-7705
Fax: (954) 781-7173

The provider's authorized official is Gilbert Yates .
The authorized official title is Contracting Supervisor and has the following contact phone number (954) 533-7705.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 11/6/2023.

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
1	283Q00000X	Psychiatric Hospital				No
2	324500000X	Substance Abuse Rehabilitation Facility			PENNSYLVANIA	Yes

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
1	407068	OTHER	PENNSYLVANIA	STATE LICENSE

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

NPI Synchronization or Removal

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