| Berkeley Day Report Center | |
|
520 S Raleigh St Martinsburg WV 25401-2642 | |
| (304) 262-9831 | |
| Not Available |
| Full Name | Berkeley Day Report Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 S Raleigh St, Martinsburg, West Virginia |
| Authorized Official Name and Position | Tim Czaja (DIRECTOR) |
| Authorized Official Contact | 3042629831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Day Report Center 400 West Stephen Street Martinsburg WV 25401 Ph: (304) 262-9831 | Berkeley Day Report Center 520 S Raleigh St Martinsburg WV 25401-2642 Ph: (304) 262-9831 |
| NPI Number | 1972042992 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972042992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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