Organization
OLYMPIC CENTER PRESTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE GLOVER (EXECUTIVE DIRECTOR)
(304) 329-2400
Entity
Organization
Contact information
Practice address
RT. 7, MANOWN, KINGWOOD, WV 26537-0158
(304) 329-2400
(304) 329-2405
Mailing address
PO BOX 158, RT. 7, MANOWN, KINGWOOD, WV 26537-0158
(304) 329-2400
(304) 329-2405
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
06GRR033
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004372
—
WV
Enumeration date
05/16/2007
Last updated
08/22/2020
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