| Lee Day Report Center | |
|
3828 Main St Weirton WV 26062-5312 | |
| (304) 748-8043 | |
| (304) 748-4175 |
| Full Name | Lee Day Report Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3828 Main St, Weirton, West Virginia |
| Authorized Official Name and Position | Fred P Mcdonald (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3042346445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Day Report Center 3828 Main St Weirton WV 26062-5312 Ph: (304) 748-8043 | Lee Day Report Center 3828 Main St Weirton WV 26062-5312 Ph: (304) 748-8043 |
| NPI Number | 1558811679 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558811679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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