| Parkersburg Addiction Recovery | |
|
2910 Emerson Ave Parkersburg WV 26104-2519 | |
| (304) 239-5355 | |
| (304) 699-1923 |
| Full Name | Parkersburg Addiction Recovery |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2910 Emerson Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Meranda S Murphy (CEO) |
| Authorized Official Contact | 7408561084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkersburg Addiction Recovery 2910 Emerson Ave Parkersburg WV 26104-2519 Ph: (740) 856-1084 | Parkersburg Addiction Recovery 2910 Emerson Ave Parkersburg WV 26104-2519 Ph: (304) 239-5355 |
| NPI Number | 1558971341 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 2163842626 |
|---|---|
| Medicare Enrollment ID | O20201021003456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558971341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Kristin Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841578747 PECOS PAC ID: 5395162580 Enrollment ID: I20201021003474 |
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