| Charleston Psychiatric Group, Inc. | |
|
1215 Quarrier St Charleston WV 25301-1809 | |
| (304) 344-0349 | |
| (304) 344-0384 |
| Full Name | Charleston Psychiatric Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1215 Quarrier St, Charleston, West Virginia |
| Authorized Official Name and Position | Ralph Silas Smith (PRESIDENT) |
| Authorized Official Contact | 3043440349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Psychiatric Group, Inc. 1215 Quarrier St Charleston WV 25301-1809 Ph: (304) 344-0349 | Charleston Psychiatric Group, Inc. 1215 Quarrier St Charleston WV 25301-1809 Ph: (304) 344-0349 |
| NPI Number | 1134142144 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134142144 | NPI | - | NPPES |
| 0011908000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (West Virginia) | Primary |
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