Children'S Service Center Of Wyoming Valley
Clinic/Center, Adolescent and Children Mental Health in Wilkes Barre, PA. Organization (NPI-2).
NPI number1609090893
StatusActive
Last updated in NPPESMay 15, 2026
Details
- NPI
- 1609090893
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Service Center Of Wyoming Valley
- Organization subpart
- No
- Enumeration date
- Apr 12, 2007
- Certification date
- May 15, 2026
- Last updated
- May 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 1007280110001 | PA | Yes |
| 251S00000X | Community/Behavioral Health | 1007280110001 | PA |
Practice location
335 S Franklin St Bldg EWilkes Barre, PA 18702-3808
Phone 570-825-6425 · Fax 570-762-9013
Mailing address
335 S Franklin StWilkes Barre, PA 18702-3808
Phone 570-825-6425 · Fax 570-762-9013
Authorized official
Sharon Vivian
Cfo
5708256425
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