Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luzerne Wyoming Counties Mental Health Mental Retardation Program

Organization Case Manager/Care Coordinator · NPI 1154455061

Luzerne Wyoming Counties Mental Health Mental Retardation Program is a Case Manager/Care Coordinator in Wilkes Barre, Pennsylvania. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

111 N Pennsylvania Ave Ste 200
Wilkes Barre, PA 18701-3511
Phone: (570) 831-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1154455061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinette Cisowski — Mh Mr Administrator · (570) 825-9441
NPI enumeratedMarch 15, 2007
Last updated in NPPESJanuary 4, 2016
Mailing address200 N River Street, Treasurer Luzerne County, Wilkes Barre, PA 18711-1001

Other providers in Wilkes Barre