Whalio Doctors

NPI 1154596757

Home Base INC Mdgrp

Organisation Community/Behavioral Health Agency Buckhannon, WV

Practice location

Address
5 1/2 W Main St, Buckhannon, WV 26201-2235
Phone
(304) 472-8707
Fax
(304) 472-8978
Mailing address
PO Box 2024, Buckhannon, WV 26201-7024

Authorised official

Name
Damon C. Cater
Title
Ceo
Phone
(304) 472-8707

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 135 (WV)

Registry record

NPI
1154596757
Entity type
Organization
NPI issued
24 Apr 2008
Record last updated
24 Apr 2008

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.