Yellow Brick Road, Inc.
NPI #1285898726 in Moundsville, West Virginia
Provider Information
- NPI Number
- 1285898726
- Entity Type
- Organization
- Organization Name
- Yellow Brick Road, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Jul 14, 2008
- Last Updated
- Jul 14, 2008
Practice Location
- Address
- 1510 4TH ST
- City
- Moundsville
- State
- West Virginia
- ZIP Code
- 26041-1733
- Phone
- (304) 551-1279
Authorized Official
- Name
- AMY JO WILSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (304) 551-1279
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
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