| Southwestern Regional Day Report Center | |
|
1 Washington Ave Suite 300 Logan WV 25601-3900 | |
| (304) 792-8689 | |
| (304) 792-2018 |
| Full Name | Southwestern Regional Day Report Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Washington Ave, Logan, West Virginia |
| Authorized Official Name and Position | Michelle Akers (DIRECTOR) |
| Authorized Official Contact | 3047928648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Regional Day Report Center 1 Washington Ave Suite 300 Logan WV 25601-3900 Ph: () - | Southwestern Regional Day Report Center 1 Washington Ave Suite 300 Logan WV 25601-3900 Ph: (304) 792-8689 |
| NPI Number | 1154864411 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154864411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (West Virginia) | Primary |
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