Organization
ALLIANCE BEHAVIORAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL K. BRADSHAW M.D. (M.D.)
(304) 551-3885
Entity
Organization
Contact information
Practice address
7 FOREST HILLS DRIVE, WHEELING, WV 26003
(304) 551-3885
Mailing address
7 FOREST HILLS DRIVE, WHEELING, WV 26003
(304) 551-3885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245421023
—
WV
Enumeration date
11/12/2020
Last updated
11/18/2020
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