Healthcare Provider Details

I. General information

NPI: 1063179521
Provider Name (Legal Business Name): ANCHOR PROJECT SUN VALLEY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 ROUTE 75
HUNTINGTON WV
25704-9008
US

IV. Provider business mailing address

2333 MACCORKLE AVE STE 100
SAINT ALBANS WV
25177-2073
US

V. Phone/Fax

Practice location:
  • Phone: 304-419-7252
  • Fax: 800-507-2033
Mailing address:
  • Phone: 304-419-7252
  • Fax: 800-507-2033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. WESLEY A WOOD
Title or Position: EXECUTIVE DIRECTOR
Credential: MA, ADC
Phone: 304-419-7252