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123 Hovatter Dr Inwood WV 25428-1298 | |
| (540) 535-1112 | |
| (540) 535-1155 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 123 Hovatter Dr, Inwood, West Virginia |
| Authorized Official Name and Position | Evelyn Puig (PRESIDENT) |
| Authorized Official Contact | 5405351112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
36 Ricketts Dr Winchester VA 22601-3676 Ph: (540) 535-1112 | 123 Hovatter Dr Inwood WV 25428-1298 Ph: (540) 535-1112 |
| NPI Number | 1841783487 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841783487 | NPI | - | NPPES |
West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5047 Gerrardstown Rd Ste 2b, Inwood, WV 25428 Phone: 304-821-1444 Fax: 304-821-1470 | |