Organization
EASTRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA QUINN (CHIEF EXECUTIVE OFFICER)
(304) 263-8954
Entity
Organization
Contact information
Practice address
235 S WATER ST, MARTINSBURG, WV 25401-4241
(304) 263-8954
(304) 263-8141
Mailing address
235 S WATER ST, MARTINSBURG, WV 25401-4241
(304) 263-8954
(304) 263-8141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BP00941825
WV
Other
Enumeration date
04/08/2009
Last updated
02/04/2026
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