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Organization

LOGAN-MINGO AREA MENTAL HEALTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA LYNN ROBERTSON (BENEFITS COORDINATOR)
(304) 792-7130
Entity
Organization

Contact information

Practice address
174 LMAH CENTER RD, LOGAN, WV 25601-4058
(304) 792-7130
(304) 896-5184
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
(304) 896-5184

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
01/31/2020
Last updated
01/31/2020
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