| Youth Health Service Inc | |
|
971 Harrison Ave Elkins WV 26241-3608 | |
| (304) 636-9450 | |
| (304) 696-2282 |
| Full Name | Youth Health Service Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 971 Harrison Ave, Elkins, West Virginia |
| Authorized Official Name and Position | Jennifer M Lauler (CASEMANAGER) |
| Authorized Official Contact | 3046369450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Health Service Inc 971 Harrison Ave Elkins WV 26241 Ph: (304) 636-9450 | Youth Health Service Inc 971 Harrison Ave Elkins WV 26241-3608 Ph: (304) 636-9450 |
| NPI Number | 1982039160 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982039160 | NPI | - | NPPES |
| 550665150 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 55 (West Virginia) | Primary |
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