OrganizationActive
Intensive Trauma Recovery LLC
NPI 1386218048 · Mental Health Clinic/Center (Including Community Mental Health Center) · Morgantown, WV
Provider details
- NPI number
- 1386218048
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Carlson, Ceo(773) 230-2310
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1102 About Town Place
Morgantown, WV 26508
Phone: (800) 755-6105
Fax: (800) 755-6105
Approximate (ZIP-level) locationGet directions
Mailing address
364 Patteson Dr # 105
Morgantown, WV 26505-3202
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.