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Southwestern Regional Day Report Center

Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children in Logan, WV. Organization (NPI-2).

NPI number1669937744
StatusActive
Last updated in NPPESFeb 6, 2019

Details

NPI
1669937744
Entity type
Organization (NPI-2)
Legal business name
Southwestern Regional Day Report Center
Organization subpart
No
Enumeration date
Feb 4, 2019
Last updated
Feb 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children––Yes

Practice location

1 Washington Ave
Logan, WV 25601-3965

Phone 304-792-8689

Mailing address

1 Washington Ave
Logan, WV 25601-3965

Phone 304-792-8689

Authorized official

Michelle Akers
Director
3047928689

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