Organization
LOGAN-MINGO AREA MENTAL HEALTH, INC.
Active
Organization
LOGAN-MINGO AREA MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN ROBERTSON (BENEFITS COORDINATO)
(304) 792-7130
Entity
Organization
Contact information
Practice address
174 LMAH CENTER RD, LOGAN, WV 25601-4058
(304) 792-7130
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005460002
—
WV
Enumeration date
01/23/2007
Last updated
01/30/2020
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