| Community Growth Behavioral Health | |
|
602 Virginia St E Ste 100 Charleston WV 25301-2154 | |
| (704) 361-1999 | |
| Not Available |
| Full Name | Community Growth Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 602 Virginia St E Ste 100, Charleston, West Virginia |
| Authorized Official Name and Position | Artentus Lasha Wilson (OWNER) |
| Authorized Official Contact | 7043611999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Growth Behavioral Health 602 Virginia St E Ste 100 Charleston WV 25301-2154 Ph: (704) 361-1999 | Community Growth Behavioral Health 602 Virginia St E Ste 100 Charleston WV 25301-2154 Ph: (704) 361-1999 |
| NPI Number | 1043077290 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043077290 | NPI | - | NPPES |
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