NPI 1013456094

New Beginnings Drug Treatment Center, INC.

Organisation Clinic/Center South Charleston, WV

Practice location

Address: 4855 Maccorkle Ave SW, South Charleston, WV 25309-1331
Phone: (304) 720-4444
Fax: (646) 839-2999

Authorised official

Name: William Mucklow
Title: President
Phone: (304) 720-4444

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 2017-008 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1013456094
Entity type: Organization
NPI issued: 23 Feb 2017
Record last updated: 23 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.