Organization
MERCER HOPE CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DANIEL ASBURY (CEO)
(304) 960-0224
Entity
Organization
Contact information
Practice address
484 PILOT ST, PRINCETON, WV 24740-6235
(304) 960-0224
Mailing address
484 PILOT ST, PRINCETON, WV 24740-6235
(304) 960-0224
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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