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Contact Information

INTENSIVE TRAUMA RECOVERY LLC
1102 ABOUT TOWN PLACE
MORGANTOWN, WV26508
 Phone: 800-755-6105
 Fax: 800-755-6105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for INTENSIVE TRAUMA RECOVERY LLC

NPI Number 1386218048
LBN Legal business name INTENSIVE TRAUMA RECOVERY LLC
Authorized official MARY CARLSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2021
Last updated 05/18/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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