NPIMap

Organization Active NPI

Valley Alliance Treatment Services

  • Methadone Clinic
  • Morgantown, WV
National Provider Identifier
1043682057
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
09 Issued in WV
Legal business name
VALLEY ALLIANCE TREATMENT SERVICES
Practice address
53 Don Knotts Blvd
Morgantown, WV 26508-6838
Phone
(304) 284-0025
Fax
(304) 284-0031
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Valerie Gualazzi, M.S.
Title
Chief Operating Officer
Phone
(304) 284-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 09 WV Primary

Addresses

Primary practice location

53 Don Knotts Blvd
Morgantown, WV 26508-6838

Mailing address

53 Don Knotts Blvd
Morgantown, WV 26508-6838
Phone (304) 284-0025

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1043682057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DON KNOTTS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265086838",
            "telephone_number": "304-284-0025",
            "fax_number": "304-284-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DON KNOTTS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265086838",
            "telephone_number": "304-284-0025",
            "fax_number": "304-284-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ALLIANCE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "GUALAZZI",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "304-284-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "WV",
            "license": "09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.