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

Wilkes Barre Behavioral Hospital Company LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1093070583

Wilkes Barre Behavioral Hospital Company LLC is a Mental Illness Community Based Residential Treatment Facility in Kingston, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

76 S Dawes Ave
Kingston, PA 18704-5710
Phone: (570) 718-0833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 221020 (PA)

Record details

NPI number1093070583
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWilkes Barre Behavioral Hospital Company LLC
Authorized official Paula Lalor — Director/Delegated Official · (629) 215-3953
Other names Community Residential Rehab #1; Community Residential Rehab #1
NPI enumeratedJuly 10, 2012
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021
Mailing address562 Wyoming Ave, Kingston, PA 18704-3721

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