Organization
MED SURG PHYSICIAN GROUP, INC.
Active
Other names
Elena Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER MOORE (OFFICE MANAGER)
(304) 253-3000
Entity
Organization
Contact information
Practice address
379 STANAFORD RD STE 200, BECKLEY, WV 25801-3141
(304) 253-3000
(304) 929-2038
Mailing address
1902 HARPER RD STE ABC, BECKLEY, WV 25801-2642
(304) 253-3000
(304) 929-2038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/08/2021
Last updated
10/12/2023
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