Louis A. Johnson Va Medical Center
NPI #1538462734 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1538462734
- Entity Type
- Organization
- Organization Name
- Louis A. Johnson Va Medical Center
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Dec 9, 2010
- Last Updated
- Dec 9, 2010
Practice Location
- Address
- 1 MED CENTER DR
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-4155
- Phone
- (304) 623-3461
Authorized Official
- Name
- DR. JACQUELINE RENEE ELSTER, PSY.D.
- Title
- PSYCHOLOGIST
- Phone
- (304) 623-3461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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