Herbert J Thomas Memorial Hospital Association

NPI #1174187603 in South Charleston, West Virginia

Provider Information

NPI Number
1174187603
Entity Type
Organization
Organization Name
Herbert J Thomas Memorial Hospital Association
Subpart
Yes (part of a larger organization)
Parent Organization
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOC
Primary Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date
Apr 30, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
4605 MACCORKLE AVE SW
ZIP Code
25309-1311
Phone
(304) 414-6190

Authorized Official

Name
BRIAN LEWIS LILLY
Title
VP QUALITY, SAFETY AND SERVICE LINE
Phone
(304) 766-4529

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children

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