Organization
BEACON BRIDGE OF WEST VIRGINIA
Active
Organization
BEACON BRIDGE OF WEST VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER YOUSIF (FOUNDER & CEO)
(984) 282-6654
Entity
Organization
Contact information
Practice address
5662 BRIER CREEK RD, DAVY, WV 24828-8802
(984) 282-6654
(984) 208-5220
Mailing address
415 DUNSTAN AVE STE B, DURHAM, NC 27707-2390
(984) 282-6654
(984) 208-5220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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