| Integrated Resources, Inc. | |
|
3776 Mountaineer Highway Maben WV 25870-0000 | |
| (304) 294-5610 | |
| (304) 294-5617 |
| Full Name | Integrated Resources, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3776 Mountaineer Highway, Maben, West Virginia |
| Authorized Official Name and Position | Earl D Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3042945610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Resources, Inc. Po Box 835 Mullens WV 25882-0835 Ph: (304) 294-5610 | Integrated Resources, Inc. 3776 Mountaineer Highway Maben WV 25870-0000 Ph: (304) 294-5610 |
| NPI Number | 1316350259 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316350259 | NPI | - | NPPES |
| 3810025595 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 276 (West Virginia) | Primary |
Integrated Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3776 Mountaineer Highway, Maben, WV 25870 Phone: 304-294-5610 Fax: 304-294-5617 | |
Integrated Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 54, Maben, WV 25870 Phone: 304-294-5610 Fax: 304-294-5617 |