| Life Support Addiction Services | |
|
3176 Weir Ave Weirton WV 26062-4809 | |
| (304) 224-1060 | |
| Not Available |
| Full Name | Life Support Addiction Services |
|---|---|
| Speciality | Social Worker |
| Location | 3176 Weir Ave, Weirton, West Virginia |
| Authorized Official Name and Position | Christine Williams (CEO/FOUNDER) |
| Authorized Official Contact | 3043740734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Support Addiction Services 73 East St. New Cumberland WV 26047-1503 Ph: (740) 275-6077 | Life Support Addiction Services 3176 Weir Ave Weirton WV 26062-4809 Ph: (304) 224-1060 |
| NPI Number | 1598156002 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598156002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 1302076 (Ohio) | Primary |
| 163W00000X | Registered Nurse | 269712 (Ohio) | Secondary |
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