Organization
HOPE DRUG REHABILITATION LLC
Active
Other names
Hope Drug Rehabilitation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN EYA PHD (ADMIN)
(304) 881-7928
Entity
Organization
Contact information
Practice address
5257 BIG TYLER RD, CROSS LANES, WV 25313-1839
(304) 881-7928
Mailing address
5257 BIG TYLER RD, CROSS LANES, WV 25313-1839
(681) 217-1121
(681) 217-1399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467
WV DEPT OF HEALTH AND HUMAN SVCS
WV
Enumeration date
09/21/2018
Last updated
06/04/2019
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