Council Of The Southern Mountains, Inc. | |
148 Mcdowell St Welch WV 24801-2225 | |
(304) 436-6800 | |
(304) 436-6803 |
Full Name | Council Of The Southern Mountains, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 148 Mcdowell St, Welch, West Virginia |
Authorized Official Name and Position | Randal Johnson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3044366800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Council Of The Southern Mountains, Inc. 148 Mcdowell St Welch WV 24801-2225 Ph: (304) 436-6800 | Council Of The Southern Mountains, Inc. 148 Mcdowell St Welch WV 24801-2225 Ph: (304) 436-6800 |
NPI Number | 1023351392 |
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Provider Enumeration Date | 04/04/2013 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023351392 | NPI | - | NPPES |
1881716611 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 384 (West Virginia) | Primary |
Council Of The Southern Mountains, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Mcdowell St, Welch, WV 24801 Phone: 304-436-6800 Fax: 304-436-6803 | |
Council Of The Southern Mountains Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Mcdowell St, Welch, WV 24801 Phone: 304-436-6800 Fax: 304-436-6803 | |
Mcdowell County Commission Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Wyoming St, Welch, WV 24801 Phone: 304-436-9009 Fax: 304-436-4351 |