Provider Demographics
NPI:1205428257
Name:ANCHOR PROJECT SUN VALLEY INC.
Entity type:Organization
Organization Name:ANCHOR PROJECT SUN VALLEY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-419-7252
Mailing Address - Street 1:1213 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064-3019
Mailing Address - Country:US
Mailing Address - Phone:304-419-7252
Mailing Address - Fax:855-888-9316
Practice Address - Street 1:5241 SUN VALLEY DR
Practice Address - Street 2:
Practice Address - City:CROSS LANES
Practice Address - State:WV
Practice Address - Zip Code:25313-1235
Practice Address - Country:US
Practice Address - Phone:304-419-7252
Practice Address - Fax:855-888-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility