Provider Demographics
NPI:1437578754
Name:RIVERTOWN BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:RIVERTOWN BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:304-962-4586
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25711-0671
Mailing Address - Country:US
Mailing Address - Phone:304-962-4586
Mailing Address - Fax:304-521-4330
Practice Address - Street 1:628 8TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2120
Practice Address - Country:US
Practice Address - Phone:304-962-4586
Practice Address - Fax:304-521-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care