NPI 1043077290
Community Growth Behavioral Health
Practice location
- Address
- 602 Virginia St E STE 100, Charleston, WV 25301-2154
- Phone
- (704) 361-1999
Authorised official
- Name
- Artentus Lasha Wilson
- Title
- Owner
- Phone
- (704) 361-1999
Registered specialties (2)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1043077290
- Entity type
- Organization
- NPI issued
- 4 Mar 2024
- Record last updated
- 4 Mar 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.