Provider Demographics
NPI:1568154615
Name:ADF BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ADF BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PYSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-673-8314
Mailing Address - Street 1:240 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-3006
Mailing Address - Country:US
Mailing Address - Phone:681-823-4257
Mailing Address - Fax:681-823-4258
Practice Address - Street 1:240 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-3006
Practice Address - Country:US
Practice Address - Phone:681-823-4257
Practice Address - Fax:681-823-4258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health