Organization
MIDLAND BEHAVIORAL HEALTH, INC.
Active
Parent organization
PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC.
Authorized official
ROBERT HANSEN (EXECUTIVE DIRECTOR)
(304) 399-1133
Entity
Organization
Contact information
Practice address
3450 RT. 60 EAST, BARBOURSVILLE, WV 25504-1609
(304) 955-6300
Mailing address
3450 RT. 60 EAST, BARBOURSVILLE, WV 25504-1609
(304) 955-6300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1213
WV
2084P0800X
Psychiatry Physician
Primary
14902
WV
364SF0001X
Family Health Clinical Nurse Specialist
71510
WV
Other
Enumeration date
01/13/2011
Last updated
10/21/2015
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