Jacob's Ladder at Brookside Farm, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1205344355

Jacob's Ladder at Brookside Farm, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Aurora, West Virginia. Licensed in West Virginia. Registered with an NPI since 2018.

Licensed in: WV
In the registry since: 2018

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

25208 George Washington Hwy
Aurora, WV 26705-8036
Phone: (304) 239-1214

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary)	Taxonomy 261QR0405X (WV)

Record details

NPI number	1205344355
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kevin Blankenship — Ceo · (304) 290-0000
NPI enumerated	January 10, 2018
Last updated in NPPES	January 10, 2018
Mailing address	515 Grand St, Morgantown, WV 26501-6607