Organization
DAYMARK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS PEASE MA (EXECUTIVE DIRECTOR)
(304) 340-3675
Entity
Organization
Contact information
Practice address
1592 WASHINGTON STREET EAST, SUITE 2, CHARLESTON, WV 25311
(304) 340-3595
(304) 340-3595
Mailing address
1592 WASHINGTON STREET EAST, SUITE 2, CHARLESTON, WV 25311
(304) 340-3675
(340) 340-3595
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
191 AND 192
WV
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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