Council of the Southern Mountains, Wv Branch, Mcdowell Co Chapter, INC
NPI #1225114184 in Keystone, West Virginia
Provider Information
- NPI Number
- 1225114184
- Entity Type
- Organization
- Organization Name
- Council of the Southern Mountains, Wv Branch, Mcdowell Co Chapter, INC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 69 MAIN STREET
- Address 2
- CITY OF KEYSTONE BUILDING
- City
- Keystone
- State
- West Virginia
- ZIP Code
- 24868-0085
- Phone
- (304) 862-3144
Authorized Official
- Name
- RANDAL JOHNSON, M.A.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (304) 862-3144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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