NPI | 1982974416 |
---|---|
Doing Business As | EASTRIDGE HEALTH SYSTEMS, INC. |
Entity Type | Organization |
Authorized Contact | G PAUL MACOM President/ Chief Executive Officer 304-263-8954 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 1022-6441) |
Enumeration Date | 2011-12-30 |
Last Update Date | 2024-09-19 |