| Open Doors For The Developmentally Challenged, Inc. | |
|
211 E Washington St Lewisburg WV 24901-1423 | |
| (304) 645-2130 | |
| (304) 647-9943 |
| Full Name | Open Doors For The Developmentally Challenged, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 211 E Washington St, Lewisburg, West Virginia |
| Authorized Official Name and Position | Amber L. Hinkle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3046452130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Doors For The Developmentally Challenged, Inc. 211 E Washington St Lewisburg WV 24901-1423 Ph: (304) 645-2130 | Open Doors For The Developmentally Challenged, Inc. 211 E Washington St Lewisburg WV 24901-1423 Ph: (304) 645-2130 |
| NPI Number | 1538338397 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538338397 | NPI | - | NPPES |
| 0005236001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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