Organization
PAI MEDICAL WV PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR OF CONTRACTING & CREDENTIA)
(860) 322-6712
Entity
Organization
Contact information
Practice address
3058C CHARLES TOWN RD, KEARNEYSVILLE, WV 25430-2669
(860) 322-6712
(860) 706-8151
Mailing address
101 CENTERPOINT DR STE 105, MIDDLETOWN, CT 06457-7568
(860) 706-8151
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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