Autism Services Center | |
10 6th Ave W Huntington WV 25701-0028 | |
(304) 525-8014 | |
(304) 525-8026 |
Full Name | Autism Services Center |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 10 6th Ave W, Huntington, West Virginia |
Authorized Official Name and Position | Mike J Grady (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 3055258014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Services Center 10 6th Ave W Huntington WV 25701-0028 Ph: (304) 525-8014 | Autism Services Center 10 6th Ave W Huntington WV 25701-0028 Ph: (304) 525-8014 |
NPI Number | 1912034232 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 12/09/2020 |
Certification Date | 12/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912034232 | NPI | - | NPPES |
0023400001 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | 35 (West Virginia) | Primary |
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