# LOUIS A. JOHNSON VA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538462734
- **Authorized official:** DR. JACQUELINE RENEE ELSTER PSY.D. (PSYCHOLOGIST)
- **Authorized official phone:** (304) 623-3461

## Contact information

- **Practice address:** 1 MED CENTER DR, CLARKSBURG, WV 26301-4155
- **Practice address phone:** (304) 623-3461
- **Mailing address:** 243 CHERRY ST, MORGANTOWN, WV 26501-6113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2010
- **Last updated:** 12/09/2010