Organization
MOUNTAINEER BEHAVIORAL HEALTH
Active
Other names
Mountaineer Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CHIEF EXECUTIVE OFFICER)
(148) 940-0407
Entity
Organization
Contact information
Practice address
3094 CHARLES TOWN ROAD, KEARNEYSVILLE, WV 25430
(304) 901-2070
(304) 885-1054
Mailing address
3094 CHARLES TOWN RD, KEARNEYSVILLE, WV 25430-2669
(304) 901-2070
(304) 885-1054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
443
WV
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443
DEPARTMENT OF HEALTH AND HUMAN RESOURCES BEHAVIORAL HEALTH LICENSE
WV
Enumeration date
10/24/2016
Last updated
01/21/2026
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