| Eternity, Inc | |
|
112 Euclid Ave Morgantown WV 26501-6584 | |
| (304) 291-5964 | |
| Not Available |
| Full Name | Eternity, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 Euclid Ave, Morgantown, West Virginia |
| Authorized Official Name and Position | Jane B. Riffe (VICEPRESIDENT, SECRETARY) |
| Authorized Official Contact | 3042915964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eternity, Inc 112 Euclid Ave Morgantown WV 26501-6584 Ph: (304) 291-5964 | Eternity, Inc 112 Euclid Ave Morgantown WV 26501-6584 Ph: (304) 291-5964 |
| NPI Number | 1669538732 |
|---|---|
| Provider Enumeration Date | 12/30/2006 |
| Last Update Date | 10/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669538732 | NPI | - | NPPES |
| SW09442 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 529 (West Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | DP00454299 (West Virginia) | Primary |
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