NPI 1346743481
Sugar Grove Mbh-Ga, LLC
Practice location
- Address
- 133 Hedrick Dr, Sugar Grove, WV 26815-5068
- Phone
- (304) 348-1079
- Mailing address
- PO Box 4107, Charleston, WV 25364-4107
Authorised official
- Name
- Cynthia Persily
- Title
- Ceo
- Phone
- (304) 348-1421
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1346743481
- Entity type
- Organization
- NPI issued
- 15 Mar 2018
- Record last updated
- 15 Mar 2018
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.