| Board Of Child Care Of The United Methodist Church Inc | |
|
715 Brown Rd Martinsburg WV 25404-7282 | |
| (304) 267-3300 | |
| Not Available |
| Full Name | Board Of Child Care Of The United Methodist Church Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 715 Brown Rd, Martinsburg, West Virginia |
| Authorized Official Name and Position | Brittany Cordell (INTERIM CLINICAL SUPERVISOR) |
| Authorized Official Contact | 3042673300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Child Care Of The United Methodist Church Inc 715 Brown Rd Martinsburg WV 25404-7282 Ph: (304) 267-3300 | Board Of Child Care Of The United Methodist Church Inc 715 Brown Rd Martinsburg WV 25404-7282 Ph: (304) 267-3300 |
| NPI Number | 1265259717 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265259717 | NPI | - | NPPES |
| 056790600 | Medicaid | MD | |
| 300222500 | Medicaid | MD | |
| 3810026072 | Medicaid | WV | |
| 479100200 | Medicaid | MD | |
| 9301006000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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