|
| |
|
2500 Cherokee Avenue Charleston WV 25304 | |
| (304) 348-1288 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2500 Cherokee Avenue, Charleston, West Virginia |
| Authorized Official Name and Position | Cynthia Persily (PRESIDENT AND CEO) |
| Authorized Official Contact | 3043481288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4009 Charleston WV 25364-4009 Ph: () - | 2500 Cherokee Avenue Charleston WV 25304 Ph: (304) 348-1288 |
| NPI Number | 1760896740 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760896740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 23020176 (West Virginia) | Primary |
Camc Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Pennsylvania Ave, Family Resource Center, Charleston, WV 25302 Phone: 304-388-1596 Fax: 304-388-2781 | |
The Healing House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Delaware Ave, Charleston, WV 25302 Phone: 681-205-8661 | |
Community Growth Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Virginia St E Ste 100, Charleston, WV 25301 Phone: 704-361-1999 | |
Linda S Geronilla Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Cook Dr, Charleston, WV 25314 Phone: 304-342-2260 Fax: 304-344-4522 | |