NPIMap

Organization Active NPI

Wilkes Barre Treatment LLC

  • Substance Abuse Rehabilitation Facility
  • Laurel Run, PA
National Provider Identifier
1740780279
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WILKES BARRE TREATMENT LLC
Practice address
1100 E Northampton St
Laurel Run, PA 18706-9520
Phone
(570) 823-1171
Fax
(570) 823-1582
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Sory
Title
Ceo
Phone
(954) 533-7705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Substance Abuse Rehabilitation Facility 324500000X PA Primary

Addresses

Primary practice location

1100 E Northampton St
Laurel Run, PA 18706-9520

Mailing address

225 N Federal Hwy
Pompano Beach, FL 33062-4319
Phone (954) 533-7705

Other identifiers 1

IdentifierTypeStateIssuer
407068OtherPASTATE LICENSE

Other names 1

  • Clearbrook Treatment Centers Doing business as

National Provider Directory

National Provider Directory

Locations

1100 E Northampton St
Laurel Run, PA 18706
Phone (570) 823-1171

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1740780279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "telephone_number": "954-533-7705",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E NORTHAMPTON ST",
            "city": "LAUREL RUN",
            "state": "PA",
            "postal_code": "187069520",
            "telephone_number": "570-823-1171",
            "fax_number": "570-823-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SORY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-533-7705"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "407068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearbrook Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel Run, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.