NPI 1043417975
Martinsburg Work Center LLC
Practice location
- Address
- 24 Integrity Ter, Martinsburg, WV 25401-3524
- Phone
- (304) 262-9600
- Fax
- (304) 262-6900
- Mailing address
- PO Box 1265, Martinsburg, WV 25402-1265
Authorised official
- Name
- Brenda Lee Koontz
- Title
- Office Assistant
- Phone
- (304) 262-9600
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1043417975
- Entity type
- Organization
- NPI issued
- 3 Jul 2007
- Record last updated
- 21 Aug 2007
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.