Autism Management Group
NPI #1912280405 in Lavalette, West Virginia
Provider Information
- NPI Number
- 1912280405
- Entity Type
- Organization
- Organization Name
- Autism Management Group
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 21, 2011
- Last Updated
- Sep 21, 2011
Practice Location
- Address
- 4552 ROUTE 152
- City
- Lavalette
- State
- West Virginia
- ZIP Code
- 25535-9609
- Phone
- (304) 521-4252
Authorized Official
- Name
- MR. TYRONE DUNCAN PHILLIPS, MS
- Title
- OWNER
- Phone
- (304) 617-4851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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