Whalio Doctors

NPI 1083064695

Home Base INC.

Organisation Community/Behavioral Health Agency Charleston, WV

Practice location

Address
713 Bigley Ave, Charleston, WV 25302-3356
Phone
(304) 746-2918
Fax
(304) 746-2919
Mailing address
PO Box 20033, Charleston, WV 25362-1033

Authorised official

Name
Damon Case Cater
Title
Owner, Ceo
Phone
(304) 746-2918

Registered specialties (5)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 440 (WV)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 440 (WV)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 440 (WV)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 440 (WV)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 440 (WV)

Registry record

NPI
1083064695
Entity type
Organization
NPI issued
14 Jun 2016
Record last updated
14 Jun 2016

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.