| Mountain Rooted Behavioral Health Llc | |
|
106 Lockheed Dr Beaver WV 25813-8962 | |
| (304) 253-5155 | |
| (681) 207-7011 |
| Full Name | Mountain Rooted Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 106 Lockheed Dr, Beaver, West Virginia |
| Authorized Official Name and Position | Victor M Rendon (OWNER) |
| Authorized Official Contact | 3047310991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Rooted Behavioral Health Llc Po Box 91 Hockessin DE 19707-0091 Ph: () - | Mountain Rooted Behavioral Health Llc 106 Lockheed Dr Beaver WV 25813-8962 Ph: (304) 253-5155 |
| NPI Number | 1073364469 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073364469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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