Organization
INTEGRATED RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL D SMITH (EXECUTIVE DIRECTOR)
(304) 294-5610
Entity
Organization
Contact information
Practice address
3776 MOUNTAINEER HIGHWAY, MABEN, WV 25870-0000
(304) 294-5610
(304) 294-5617
Mailing address
PO BOX 835, MULLENS, WV 25882-0835
(304) 294-5610
(304) 294-5617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
276
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005343000
—
WV
Enumeration date
06/09/2014
Last updated
06/09/2014
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