Organization
BAYMARK HEALTH SERVICES OF WEST VIRGINIA, INC.
Active
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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