| St. Joseph Recovery Center, Llc | |
|
1073 Arbuckle Rd Summersville WV 26651-1745 | |
| (304) 254-6159 | |
| Not Available |
| Full Name | St. Joseph Recovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1073 Arbuckle Rd, Summersville, West Virginia |
| Authorized Official Name and Position | Donna J Meadows (CEO) |
| Authorized Official Contact | 3049161881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Recovery Center, Llc 1824 Murdoch Ave Bldg C Parkersburg WV 26101-3230 Ph: (304) 916-1881 | St. Joseph Recovery Center, Llc 1073 Arbuckle Rd Summersville WV 26651-1745 Ph: (304) 254-6159 |
| NPI Number | 1346947025 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346947025 | NPI | - | NPPES |
| 1174021406 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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