Organization
MOUNTAIN ROOTED BEHAVIORAL HEALTH LLC
Active
Organization
MOUNTAIN ROOTED BEHAVIORAL HEALTH LLC
Active
Other names
Mountain Rooted Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR M RENDON DO (OWNER)
(304) 731-0991
Entity
Organization
Contact information
Practice address
106 LOCKHEED DR, BEAVER, WV 25813-8962
(304) 253-5155
(681) 207-7011
Mailing address
PO BOX 91, HOCKESSIN, DE 19707-0091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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