OrganizationActive
Wilkes Barre Behavioral Hospital Company LLC
NPI 1093070583 · Mental Illness Community Based Residential Treatment Facility · Kingston, PA
Provider details
- NPI number
- 1093070583
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Wilkes Barre Behavioral Hospital Company LLC
- Organization subpart
- Yes
- Authorized official
- Paula Lalor, Director/Delegated Official(629) 215-3953
- License
- 221020 (PA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
76 S Dawes Ave
Kingston, PA 18704-5710
Phone: (570) 718-0833
Street-level locationGet directions
Mailing address
562 Wyoming Ave
Kingston, PA 18704-3721
Other names (DBA / former)
- Doing business as
- Community Residential Rehab #1
- Doing business as
- Community Residential Rehab #1
Registry dates
- Enumerated
- 2012-07-10
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.