OrganizationActive
Sycamore Run, LLC
NPI 1073737706 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Keyser, WV
Provider details
- NPI number
- 1073737706
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brenda Harden, Executive Director(304) 298-3262
- License
- 145 (WV)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 145 (WV)
Residential Treatment Facilities
Practice location
Rr 2 Box 215a
Keyser, WV 26726-9230
Phone: (304) 298-3262
Fax: (304) 298-4100
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 2 Box 215a
Keyser, WV 26726
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.