Mountain Rooted Behavioral Health LLC
NPI #1073364469 in Beaver, West Virginia
Provider Information
- NPI Number
- 1073364469
- Entity Type
- Organization
- Organization Name
- Mountain Rooted Behavioral Health LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 106 LOCKHEED DR
- City
- Beaver
- State
- West Virginia
- ZIP Code
- 25813-8962
- Phone
- (304) 253-5155
Authorized Official
- Name
- VICTOR M RENDON, DO
- Title
- OWNER
- Phone
- (304) 731-0991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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