Mountaineer Case Management
NPI #1518287051 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1518287051
- Entity Type
- Organization
- Organization Name
- Mountaineer Case Management
- Primary Specialty
- Case Management
- Enumeration Date
- Jun 7, 2010
- Last Updated
- Jun 7, 2010
Practice Location
- Address
- 1445 PARK SIDE EST
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-6109
- Phone
- (304) 476-6698
Authorized Official
- Name
- MR. WILLIAM B DICKEY, MSCRCLPC
- Title
- ADMINISTRATOR
- Phone
- (304) 476-6698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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