Organization · Type 2 NPI
Jacob's Ladder at Brookside Farm, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Aurora, WV
NPI number
1205344355
Active
Practice location
25208 George Washington Hwy
Aurora, WV 26705-8036
Mailing address
515 Grand St
Morgantown, WV 26501-6607
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...
5 other providers at this address
- Jordan Luzier, PRSSPeer Specialist Aurora, WV NPI 1568197861
- Paul Richard Nuedling, PRSSPeer Specialist Aurora, WV NPI 1043057664
- Preston QuigleyPeer Specialist Aurora, WV NPI 1952238628
- Ryan Fieldman, PRSSPeer Specialist Aurora, WV NPI 1720906233
- Stephanie Blankenship, RN, BSNRegistered Nurse Aurora, WV NPI 1538070750
About NPI 1205344355
Jacob's Ladder at Brookside Farm, LLC's National Provider Identifier is 1205344355, issued on Jan 10, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Aurora, WV. The record was last updated on Jan 10, 2018.