| Goodwill Industries Of Kyowva Area, Inc. Family Service Division | |
|
1102 Memorial Blvd. W Huntington WV 25701 | |
| (304) 523-9545 | |
| (304) 525-7038 |
| Full Name | Goodwill Industries Of Kyowva Area, Inc. Family Service Division |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1102 Memorial Blvd. W, Huntington, West Virginia |
| Authorized Official Name and Position | Alissa Stewart (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3045239454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwill Industries Of Kyowva Area, Inc. Family Service Division 1102 Memorial Blvd. W. Huntington WV 25701 Ph: (304) 523-9545 | Goodwill Industries Of Kyowva Area, Inc. Family Service Division 1102 Memorial Blvd. W Huntington WV 25701 Ph: (304) 523-9545 |
| NPI Number | 1114248861 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114248861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (West Virginia) | Primary |
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