Organization · Type 2 NPI

Boomtown Mental Wellness Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Nitro, WV

NPI number 1003735879 Active

Practice location

4002 First Avenue
Nitro, WV 25143-2339

Mailing address

1458 Sattes Cir
Nitro, WV 25143-2339

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1003735879

Boomtown Mental Wellness Center's National Provider Identifier is 1003735879, issued on Jul 14, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Nitro, WV. The record was last updated on Jul 14, 2026.