Organization
LOGAN-MINGO AREA MENTAL HEALTH, INC
Active
Organization
LOGAN-MINGO AREA MENTAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN ROBERTSON (BENEFITS COORDINATOR)
(304) 792-7130
Entity
Organization
Contact information
Practice address
2954 BUFFALO CREEK ROAD, CHATTAROY, WV 25667
(304) 792-7130
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
(304) 896-5184
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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