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 Management Agency · NPI 1629104682

Luzerne Wyoming Counties Mental Health Mental Retardation Program is a Case Management Agency 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 Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1629104682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinette Cisowski — Mh Mr Administrator · (570) 825-9441
NPI enumeratedFebruary 26, 2007
Last updated in NPPESDecember 30, 2015
Mailing address200 N River St, Treasurer Luzerne County, Wilkes Barre, PA 18711-1004

Other providers in Wilkes Barre