NPI 1609092477

Stonebrook, INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Kearneysville, WV

Practice location

Address: 3273 Charles Town Rd, Kearneysville, WV 25430-2649
Phone: (304) 267-2763
Fax: (304) 267-1514
Mailing address: PO Box 70, Kearneysville, WV 25430-0070

Authorised official

Name: John W Fanning
Title: Executive Director
Phone: (304) 267-2763

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 36 (WV)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in West Virginia →

Registry record

NPI: 1609092477
Entity type: Organization
NPI issued: 18 Apr 2007
Record last updated: 22 Aug 2020

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.