Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 36 Petrie Dr, High View, West Virginia |
Authorized Official Name and Position | Ralph Boyd (PRESIDENT/CEO) |
Authorized Official Contact | 2027978806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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60 O St Nw Washington DC 20001-1259 Ph: (202) 797-8806 | 36 Petrie Dr High View WV 26808 Ph: (304) 856-3416 |
NPI Number | 1922510668 |
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Provider Enumeration Date | 11/03/2017 |
Last Update Date | 08/13/2020 |
Certification Date | 08/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922510668 | NPI | - | NPPES |