Organization
UNION MISSION BEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCOTT QUINTRELL (CEO)
(304) 925-0366
Entity
Organization
Contact information
Practice address
705 S PARK RD, CHARLESTON, WV 25304-2629
(304) 446-2336
Mailing address
705 S PARK RD, CHARLESTON, WV 25304-2629
(304) 446-2336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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