Organization · Type 2 NPI

Harrison County Commission

Substance Use Disorder Rehabilitation Clinic/Center · Clarksburg, WV

NPI number 1184123705 Active

Practice location

215 S 3rd St
Clarksburg, WV 26301-0018

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1184123705
Entity type: Organization (Type 2)
Issued: Feb 9, 2018
Last updated: Feb 9, 2018
Status: Active
Subpart: Yes of Harrison County Commission

Other names

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Harrison County Community Corrections Day Report Center · doing business as

Authorized official

Gary M Hamrick
Director
(304) 423-7061

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184123705

Harrison County Commission's National Provider Identifier is 1184123705, issued on Feb 9, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Clarksburg, WV. The record was last updated on Feb 9, 2018.