Council of the Southern Mountains
NPI #1558896993 in Welch, West Virginia
Provider Information
- NPI Number
- 1558896993
- Entity Type
- Organization
- Organization Name
- Council of the Southern Mountains
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 24, 2017
- Last Updated
- Apr 24, 2017
Practice Location
- Address
- 148 MCDOWELL ST
- City
- Welch
- State
- West Virginia
- ZIP Code
- 24801-2225
- Phone
- (304) 436-6800
Authorized Official
- Name
- RANDAL JOHNSON, M.A.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (304) 436-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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