Organization
BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Active
Other names
MedMark Treatment Centers Morgantown
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
53 DON KNOTTS BLVD, MORGANTOWN, WV 26508-6838
(304) 284-0025
(304) 284-0031
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(469) 470-4779
(214) 481-7740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
175T00000X
Peer Specialist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
01/27/2023
Last updated
07/29/2024
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