SUGAR GROVE MBH-GA LLC NPI 1346743481

NPI Information

  • NPI: 1346743481
  • Provider Name: SUGAR GROVE MBH-GA, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: THE HIGHLANDS AT SUGAR GROVE
  • Address: 133 HEDRICK DR
    SUGAR GROVE, WV
    ZIP 26815
  • Phone: (304) 348-1079

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NPI Details

SUGAR GROVE MBH-GA, LLC is a substance abuse rehabilitation facility in Sugar Grove, WV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SUGAR GROVE MBH-GA, LLC NPI is 1346743481. The provider is registered as an organization entity type.
The provider Is Doing Business As The Highlands At Sugar Grove.

The provider's business location address is:

133 HEDRICK DR
SUGAR GROVE, WV
ZIP 26815-068
Phone: (304) 348-1079

The provider's authorized official is Cynthia Persily .
The authorized official title is Ceo and has the following contact phone number (304) 348-1421.

The enumeration date for this NPI number is 3/15/2018 and was last updated on 3/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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