Coordinating Council For Independent Living | |
1097 Greenbag Rd Morgantown WV 26508-1532 | |
(304) 291-9066 | |
(304) 291-2119 |
Full Name | Coordinating Council For Independent Living |
---|---|
Speciality | Community/behavioral Health |
Location | 1097 Greenbag Rd, Morgantown, West Virginia |
Authorized Official Name and Position | Mary S Plevich (CFO) |
Authorized Official Contact | 3042919066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coordinating Council For Independent Living 1097 Greenbag Rd Morgantown WV 26508-1532 Ph: (304) 291-9066 | Coordinating Council For Independent Living 1097 Greenbag Rd Morgantown WV 26508-1532 Ph: (304) 291-9066 |
NPI Number | 1164614301 |
---|---|
Provider Enumeration Date | 08/13/2007 |
Last Update Date | 02/28/2023 |
Certification Date | 02/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164614301 | NPI | - | NPPES |
0030447000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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West Virginia University Hospitals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Collins Ferry Rd, Morgantown, WV 26505 Phone: 304-598-6429 | |
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West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Monongalia County Child Advocacy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Greenbag Rd, Morgantown, WV 26508 Phone: 304-598-0344 Fax: 304-598-0558 | |
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