Organization
MOUNTAINEER BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CEO)
(148) 940-0407
Entity
Organization
Contact information
Practice address
55 MERIDIAN PKWY, SUITE 103, MARTINSBURG, WV 25404-5422
(304) 901-2070
(304) 901-4436
Mailing address
55 MERIDIAN PKWY, SUITE 103, MARTINSBURG, WV 25404-5422
(304) 901-2070
(304) 901-4436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2322-3006
WV
Other
Enumeration date
12/28/2015
Last updated
04/10/2024
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