Luzerne Intermediate Unit #18
Community/Behavioral Health in Kingston, PA. Organization (NPI-2).
NPI number1164557716
StatusActive
Last updated in NPPESAug 3, 2007
Details
- NPI
- 1164557716
- Entity type
- Organization (NPI-2)
- Legal business name
- Luzerne Intermediate Unit #18
- Organization subpart
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- Aug 3, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 217190 | PA | Yes |
Practice location
368 Tioga AveKingston, PA 18704-5117
Phone 570-718-4669
Mailing address
368 Tioga AveKingston, PA 18704-5117
Phone 570-718-4669
Authorized official
Jennifer Lynn Runquist
Director Of Behavioral Health
5708253928
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