NPI 1003459686
Spotted Owl Healthcare Organization
Practice location
- Address
- 807 Elvira Rd, Dunbar, WV 25064-1001
- Phone
- (304) 610-5732
- Mailing address
- 2635 Riverside Dr, Saint Albans, WV 25177-3312
Authorised official
- Name
- Orlando Yusef Craighead
- Title
- Program Director
- Phone
- (304) 610-5732
Registered specialties (10)
Public Health or Welfare Agency
Primary
Clinical Social Worker
Health Educator
Case Management Agency
Home Health Agency
Community/Behavioral Health Agency
Early Intervention Provider Agency
Substance Use Disorder Rehabilitation Clinic/Center
Substance Use Disorder Rehabilitation Hospital Unit
Health Maintenance Organization
Registry record
- NPI
- 1003459686
- Entity type
- Organization
- NPI issued
- 25 Oct 2019
- Record last updated
- 8 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.