Organization
SOUTHWESTERN REGIONAL DAY REPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AKERS (DIRECTOR)
(304) 792-8689
Entity
Organization
Contact information
Practice address
1 WASHINGTON AVE, LOGAN, WV 25601-3965
(304) 792-8689
Mailing address
1 WASHINGTON AVE, LOGAN, WV 25601-3965
(304) 792-8689
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/06/2019
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