Full Name | Wvcorr |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 134 W Sioux Ln, Romney, West Virginia |
Authorized Official Name and Position | Misty Stambler (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3043592185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wvcorr 134 W Sioux Ln Romney WV 26757-1459 Ph: (304) 359-2185 | Wvcorr 134 W Sioux Ln Romney WV 26757-1459 Ph: (304) 359-2185 |
NPI Number | 1760108138 |
---|---|
Provider Enumeration Date | 10/17/2022 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760108138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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