Organization
MOUNTAINEER WELLNESS AND RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M MILLER (ADMINISTRATOR)
(681) 238-3344
Entity
Organization
Contact information
Practice address
310 GEORGE ST, BECKLEY, WV 25801-2653
(304) 552-2261
Mailing address
310 GEORGE ST, BECKLEY, WV 25801-2653
(681) 207-3652
(681) 207-3653
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013557982
NPI
WV
Enumeration date
01/08/2020
Last updated
04/13/2021
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