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MSRC LLC NPI 1184288623


NPI Information

NPI: 1184288623
Provider Name: MSRC, LLC

Doing Business As: MOUNTAIN STATE RECOVERY CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
102 PATRICK STREET PLZ
CHARLESTON, WV
ZIP 25387
Phone: (304) 223-3200
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MSRC, LLC is a community behavioral health in Charleston, WV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MSRC, LLC NPI is 1184288623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain State Recovery Center.

The provider's business location address is:

102 PATRICK STREET PLZ
CHARLESTON, WV
ZIP 25387-444
Phone: (304) 223-3200

The provider's authorized official is Joshua Preston Galbraith .
The authorized official title is Owner and has the following contact phone number (304) 223-3200.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 3/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2251S00000XCommunity/Behavioral HealthYes
3291U00000XClinical Medical LaboratoryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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