Colony Drug & Wellness Center Dsme

NPI #1326382821 in Beckley, West Virginia

Provider Information

NPI Number
1326382821
Entity Type
Organization
Organization Name
Colony Drug & Wellness Center Dsme
Subpart
Yes (part of a larger organization)
Parent Organization
JOHNSTON & JOHNSTON, INC.
Primary Specialty
Clinic/Center
Enumeration Date
Nov 21, 2012
Last Updated
Nov 21, 2012

Practice Location

Address
2810 ROBERT C BYRD DR
ZIP Code
25801-5238
Phone
(304) 252-5305

Authorized Official

Name
ARNOLD VAUGHN, R.D., L.D., C.D.E.
Title
PROGRAM COORDINATOR
Phone
(304) 252-5305

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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