NPI 1538462734
Louis A. Johnson VA Medical Center
Practice location
- Address
- 1 Med Center Dr, Clarksburg, WV 26301-4155
- Phone
- (304) 623-3461
- Mailing address
- 243 Cherry St, Morgantown, WV 26501-6113
Authorised official
- Name
- Jacqueline Renee Elster
- Title
- Psychologist
- Phone
- (304) 623-3461
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1538462734
- Entity type
- Organization
- NPI issued
- 9 Dec 2010
- Record last updated
- 9 Dec 2010
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.