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Organization

MSRC, LLC

Active
Other names
Mountain State Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA PRESTON GALBRAITH (OWNER)
(304) 223-3200
Entity
Organization

Contact information

Practice address
102 PATRICK STREET PLZ, CHARLESTON, WV 25387-2444
(304) 223-3200
Mailing address
102 PATRICK STREET PLZ, CHARLESTON, WV 25387-2444
(304) 223-3200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
251S00000X
Community/Behavioral Health Agency
Primary
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
04/30/2019
Last updated
03/29/2024
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