Organization
LOGAN MINGO AREA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN ROBERTSON (BENEFITS COORDINATOR)
(304) 792-7130
Entity
Organization
Contact information
Practice address
174 LMAH CENTER RD, LOGAN, WV 25601-4058
(304) 792-7130
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
(304) 792-7138
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
11
WV
Other
Enumeration date
12/21/2011
Last updated
01/30/2020
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