Provider Demographics
NPI:1063179521
Name:ANCHOR PROJECT SUN VALLEY INC.
Entity type:Organization
Organization Name:ANCHOR PROJECT SUN VALLEY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ADC
Authorized Official - Phone:304-419-7252
Mailing Address - Street 1:2333 MACCORKLE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-2073
Mailing Address - Country:US
Mailing Address - Phone:304-419-7252
Mailing Address - Fax:800-507-2033
Practice Address - Street 1:3455 ROUTE 75
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-9008
Practice Address - Country:US
Practice Address - Phone:304-419-7252
Practice Address - Fax:800-507-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility