NPI 1225114184
Council of the Southern Mountains, Wv Branch, McDowell Co Chapter, INC
Practice location
- Address
- 69 Main Street City of Keystone Building, Keystone, WV 24868-0085
- Phone
- (304) 862-3144
- Fax
- (304) 862-3071
- Mailing address
- PO Box 85, Northfork, WV 24868-0085
Authorised official
- Name
- Randal Johnson
- Title
- Executive Director
- Phone
- (304) 862-3144
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1225114184
- Entity type
- Organization
- NPI issued
- 31 Oct 2006
- Record last updated
- 22 Aug 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.