Whalio Doctors

NPI 1174187603

Herbert J Thomas Memorial Hospital Association

Organisation Children's Substance Abuse Rehabilitation Facility South Charleston, WV

Practice location

Address
4605 Maccorkle Ave SW, South Charleston, WV 25309-1311
Phone
(304) 414-6190

Authorised official

Name
Brian Lewis Lilly
Title
Vp Quality, Safety and Service Line
Phone
(304) 766-4529

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1174187603
Entity type
Organization
NPI issued
30 Apr 2019
Record last updated
11 Jun 2019

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.