| Renovo Center Llc | |
|
150 E Burr Blvd Fl 1 Kearneysville WV 25430 | |
| (681) 252-1632 | |
| Not Available |
| Full Name | Renovo Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 E Burr Blvd Fl 1, Kearneysville, West Virginia |
| Authorized Official Name and Position | Melissa Swartz (FOUNDER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6812521632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovo Center Llc 1908 Files Cross Rd Martinsburg WV 25404-0202 Ph: (304) 676-0860 | Renovo Center Llc 150 E Burr Blvd Fl 1 Kearneysville WV 25430 Ph: (681) 252-1632 |
| NPI Number | 1336512359 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 08/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336512359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2036 (West Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | 2036 (West Virginia) | Primary |
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