NPI 1063015618
Stonebrook Community Services LLC
Practice location
- Address
- 200 Lutz Ave, Martinsburg, WV 25404-5720
- Phone
- (304) 267-2763
Authorised official
- Name
- David Alan Pruett
- Title
- Cfo
- Phone
- (540) 562-8462
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1063015618
- Entity type
- Organization
- NPI issued
- 17 Nov 2020
- Record last updated
- 17 Nov 2020
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.