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Organization
MED SURG PHYSICIAN GROUP, INC.
Active
Organization
MED SURG PHYSICIAN GROUP, INC.
Active
Other names
Elena Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER MOORE (OFFICE MANAGER)
(304) 253-3000
Entity
Organization
Contact information
Practice address
379 STANAFORD RD STE 200, BECKLEY, WV 25801-3141
(304) 253-3000
(304) 929-2038
Mailing address
1902 HARPER RD STE ABC, BECKLEY, WV 25801-2642
(304) 253-3000
(304) 929-2038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/08/2021
Last updated
10/12/2023
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