NPI 1326248048

Home Base INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Buckhannon, WV

Practice location

Address: 1362 Mountain Ridge Rd, Buckhannon, WV 26201-5117
Phone: (304) 473-6826
Fax: (304) 472-8978
Mailing address: 713 Bigley Ave, Charleston, WV 25302-3356

Authorised official

Name: Damon C. Cater
Title: Ceo
Phone: (304) 472-6826

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 135 (WV)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in West Virginia →

Registry record

NPI: 1326248048
Entity type: Organization
NPI issued: 20 Jul 2007
Record last updated: 8 Jul 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.