| Pnb | |
| 1289 Robert C Byrd Dr Suite 4 Crab Orchard WV 25827 | |
| (304) 253-8979 | |
| Not Available | 
| Full Name | Pnb | 
|---|---|
| Speciality | Case Management | 
| Location | 1289 Robert C Byrd Dr, Crab Orchard, West Virginia | 
| Authorized Official Name and Position | Shannon Hughart (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 3042221132 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pnb 110 Gaines Ave Beckley WV 25801-8687 Ph: (304) 222-1132 | Pnb 1289 Robert C Byrd Dr Suite 4 Crab Orchard WV 25827 Ph: (304) 253-8979 | 
| NPI Number | 1831645464 | 
|---|---|
| Provider Enumeration Date | 09/01/2016 | 
| Last Update Date | 09/01/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831645464 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary | 
| 251B00000X | Case Management | (* (Not Available)) | Primary | 
| Vaught Infusion Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1404 Robert C Byrd Dr Ste 202, Crab Orchard, WV 25827 Phone: 304-252-4222 | |
| Vaught Neurological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1404 Robert C Byrd Dr Ste 100, Crab Orchard, WV 25827 Phone: 304-252-4222 | |
| Pressley Ridge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Robert C Byrd Dr, Crab Orchard, WV 25827 Phone: 304-252-1106 Fax: 304-252-0911 |