Olympic Center Preston, Inc. in Kingwood - Substance Abuse Treatment, Children

Olympic Center Preston, Inc. - NPI 1275740623

Olympic Center Preston, Inc. is a Substance Abuse Treatment, Children in Kingwood, . Olympic Center Preston, Inc. practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Olympic Center Preston, Inc. is 1275740623. The last update date is 2020-08-22.

Olympic Center Preston, Inc.'s current location address is Po Box 158, Kingwood, . You can contact this provider via phone number 3043292400 and fax number 3043292405. The mailing address for Olympic Center Preston, Inc. is Po Box 158, Kingwood, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Olympic Center Preston, Inc.
Address Po Box 158, Kingwood,
Phone Number 3043292400
Fax Number 3043292405
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Glover Arlene
Telephone Number 3043292400

NPI Number Detail

NPI Number 1275740623
Provider Enumeration Date 2007-05-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 158
City Kingwood
State (WV)
Post Code 265370158
Phone Number 3043292400
Fax Number 3043292405

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Treatment, Children
Taxonomy 3245S0500X
Licence No 06GRR033
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3810004372 WV --

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FAQs about Olympic Center Preston, Inc.

What is the Olympic Center Preston, Inc.'s unique identification number?

The Olympic Center Preston, Inc. has been assigned the NPI (National Provider Identifier) Number 1275740623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Olympic Center Preston, Inc. is physically located?

The Olympic Center Preston, Inc. is situated at the following address: Po Box 158, Kingwood, WV 265370158.

What is Olympic Center Preston, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Olympic Center Preston, Inc. is Substance Abuse Treatment, Children, and the taxonomy classification code that categorizes this area of expertise is 3245S0500X.

On what date did the Centers for Medicare & Medicaid Services assign the 1275740623 to Olympic Center Preston, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1275740623 to Olympic Center Preston, Inc. on 2007-05-16.

When was the information related to Olympic Center Preston, Inc. most recently updated or refreshed?

The details pertaining to the Olympic Center Preston, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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