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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
Update your record

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