OrganizationActive
Stonebrook, Inc
NPI 1609092477 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Kearneysville, WV
Provider details
- NPI number
- 1609092477
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Fanning, Executive Director(304) 267-2763
- License
- 36 (WV)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 36 (WV)
Residential Treatment Facilities
Practice location
3273 Charles Town Rd
Kearneysville, WV 25430-2649
Phone: (304) 267-2763
Fax: (304) 267-1514
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 70
Kearneysville, WV 25430-0070
Registry dates
- Enumerated
- 2007-04-18
- 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.