Provider Demographics
NPI:1760037014
Name:RECOVERY POINT WEST VIRGINIA BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:RECOVERY POINT WEST VIRGINIA BEHAVIORAL HEALTH INC
Other - Org Name:RECOVERY POINT OF HUNTINGTON INC
Other - Org Type:Other Name
Authorized Official - Title/Position:UTILIZATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:RBA, PR
Authorized Official - Phone:304-408-3256
Mailing Address - Street 1:137 8TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-2510
Mailing Address - Country:US
Mailing Address - Phone:681-888-5291
Mailing Address - Fax:
Practice Address - Street 1:137 8TH AVE W
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2510
Practice Address - Country:US
Practice Address - Phone:681-888-5291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECOVERY POINT OF HUNTINGTON INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility