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COMMUNITY RESIDENTIAL REHAB #1
NPI 1093070583
Community Based Residential Treatment Facility, Mental Illness in Kingston, PA

Active since July 10, 2012
76 S DAWES AVE, KINGSTON, PA 18704(570) 718-0833 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Apr 12, 2018 (2 updates tracked since 2018).

About Community Residential Rehab #1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY RESIDENTIAL REHAB #1 (NPI 1093070583) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kingston, Pennsylvania and active in the NPI registry since July 2012. The organization lists Paula Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1093070583
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Location Address76 S DAWES AVEKingston, PA 18704-5710
Mailing Address562 Wyoming AveKingston, PA 18704-3721 · (570) 552-3865
Phone(570) 718-0833
Organization SubpartYes
Authorized OfficialPaula LalorDirector/delegated Official · (629) 215-3953
Enumeration DateJuly 10, 2012
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1093070583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in PA · 221020
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
76 S DAWES AVE, Kingston, PA 18704
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Other Names 1

Doing Business AsCommunity Residential Rehab #1

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIED HEALTH CARE SERVICES
Community/Behavioral Health
76 S DAWES AVE
KINGSTON, PA 18704
Luzerne County (570) 348-2911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilkes Barre Behavioral Hospital Company LLC's NPI number?

The NPI number for Wilkes Barre Behavioral Hospital Company LLC is 1093070583. It was assigned to this organization in the NPPES registry on July 10, 2012. The provider is doing business as Community Residential Rehab #1.

Where is Wilkes Barre Behavioral Hospital Company LLC located?

Wilkes Barre Behavioral Hospital Company LLC is located at 76 S Dawes Ave, Kingston, PA 18704. The listed phone number is (570) 718-0833.

What is Wilkes Barre Behavioral Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Wilkes Barre Behavioral Hospital Company LLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.