Hope Drug Rehabilitation Llc | |
5257 Big Tyler Rd Cross Lanes WV 25313-1839 | |
(304) 881-7928 | |
Not Available |
Full Name | Hope Drug Rehabilitation Llc |
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Speciality | Community/behavioral Health |
Location | 5257 Big Tyler Rd, Cross Lanes, West Virginia |
Authorized Official Name and Position | Jonathan Eya (ADMIN) |
Authorized Official Contact | 3048817928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hope Drug Rehabilitation Llc 5257 Big Tyler Rd Cross Lanes WV 25313-1839 Ph: (681) 217-1121 | Hope Drug Rehabilitation Llc 5257 Big Tyler Rd Cross Lanes WV 25313-1839 Ph: (304) 881-7928 |
NPI Number | 1841774270 |
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Provider Enumeration Date | 09/21/2018 |
Last Update Date | 06/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841774270 | NPI | - | NPPES |
467 | Other | WV | WV DEPT OF HEALTH AND HUMAN SVCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Psychological Consultation And Assessment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Glass Dr, Cross Lanes, WV 25313 Phone: 304-776-7230 Fax: 304-776-7247 |