Organization
MSRC, LLC
Active
Other names
Mountain State Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SHAFFER (COO)
(859) 489-2705
Entity
Organization
Contact information
Practice address
102 PATRICK STREET PLZ, CHARLESTON, WV 25387-2444
(304) 941-9779
Mailing address
8 RIVER WALK MALL, SOUTH CHARLESTON, WV 25303-1026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
11/15/2018
Last updated
03/15/2024
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