Organization
LIBERTY COMMUNITY PROGRAMS WV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICKA FORD MA, MBE (COO)
(925) 518-1340
Entity
Organization
Contact information
Practice address
133 HEDRICK DR, SUGAR GROVE, WV 26815-5068
(925) 518-1340
Mailing address
133 HEDRICK DR, SUGAR GROVE, WV 26815-5068
(925) 518-1340
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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