NPI | 1821621632 |
---|---|
Doing Business As | POCAHONTAS MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | SHANNON RUTH STARCHER Provider Enrollment 304-799-7400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |