Organization
LAURENS WISH ADDICTION TRIAGE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON M WISE (OPERATIONS MANAGER)
(304) 282-7632
Entity
Organization
Contact information
Practice address
20 SCOTT AVE STE 301, MORGANTOWN, WV 26508-8857
(304) 241-4000
(304) 212-5141
Mailing address
20 SCOTT AVE STE 301, MORGANTOWN, WV 26508-8857
(304) 241-4000
(304) 212-5141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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