Mountaineer Recovery Center | |
3094 Charles Town Road Kearneysville WV 25430 | |
(304) 901-2070 | |
(304) 885-1054 |
Full Name | Mountaineer Recovery Center |
---|---|
Speciality | Community/behavioral Health |
Location | 3094 Charles Town Road, Kearneysville, West Virginia |
Authorized Official Name and Position | Jason Hendricks (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 1489400407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mountaineer Recovery Center 3094 Charles Town Road Kearneysville WV 25430 Ph: (304) 901-2070 | Mountaineer Recovery Center 3094 Charles Town Road Kearneysville WV 25430 Ph: (304) 901-2070 |
NPI Number | 1780135863 |
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Provider Enumeration Date | 10/24/2016 |
Last Update Date | 04/10/2024 |
Certification Date | 04/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780135863 | NPI | - | NPPES |
443 | Other | WV | DEPARTMENT OF HEALTH AND HUMAN RESOURCES BEHAVIORAL HEALTH LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 443 (West Virginia) | Primary |
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