Organization
MARTINSBURG INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL BERCH BS (EXECUTIVE DIRECTOR)
(304) 263-1101
Entity
Organization
Contact information
Practice address
223 EAGLE SCHOOL RD, MARTINSBURG, WV 25404-3367
(304) 263-1101
(304) 263-0031
Mailing address
223 EAGLE SCHOOL RD, MARTINSBURG, WV 25404-3367
(304) 263-1101
(304) 263-0031
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC0559017
BOARD OF PHARMACY LICENSE
WV
Enumeration date
05/03/2007
Last updated
11/30/2020
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