Wilkes-barre Behavioral Hospital Company Llc | |
562 Wyoming Ave Kingston PA 18704-3721 | |
(570) 552-3865 | |
(570) 552-3875 |
Full Name | Wilkes-barre Behavioral Hospital Company Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 562 Wyoming Ave, Kingston, Pennsylvania |
Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT) |
Authorized Official Contact | 8778929815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wilkes-barre Behavioral Hospital Company Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7000 | Wilkes-barre Behavioral Hospital Company Llc 562 Wyoming Ave Kingston PA 18704-3721 Ph: (570) 552-3865 |
NPI Number | 1427292622 |
---|---|
Provider Enumeration Date | 05/01/2009 |
Last Update Date | 01/25/2022 |
Certification Date | 01/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427292622 | NPI | - | NPPES |
102288577-0005 | Medicaid | PA |
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