Organization
MARTIN BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RICHARD MARTIN BA (PRESIDENT)
(304) 424-3457
Entity
Organization
Contact information
Practice address
521 MARKET ST, PARKERSBURG, WV 26101-5150
(304) 424-3457
(304) 422-1025
Mailing address
521 MARKET ST, BOX 1, PARKERSBURG, WV 26101-5150
(304) 424-3457
(304) 422-1025
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1011-4283
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008597
—
WV
Enumeration date
05/17/2007
Last updated
08/22/2020
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