Healthcare Provider Details

I. General information

NPI: 1568154615
Provider Name (Legal Business Name): ADF BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CENTRAL AVE
OAK HILL WV
25901-3006
US

IV. Provider business mailing address

240 CENTRAL AVE
OAK HILL WV
25901-3006
US

V. Phone/Fax

Practice location:
  • Phone: 681-823-4257
  • Fax: 681-823-4258
Mailing address:
  • Phone: 681-823-4257
  • Fax: 681-823-4258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNIE L PYSZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 304-673-8314