NPI 1881716611

Council of the Southern Mountains

Organisation Developmentally Disabled Services Day Training Agency Keystone, WV

Practice location

Address: 69 Main St. Old Keystone Bank 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

Agencies Taxonomy 251C00000X Licence 384 (WV)

Other Day Training, Developmentally Disabled Services providers in West Virginia →

Registry record

NPI: 1881716611
Entity type: Organization
NPI issued: 4 Apr 2007
Record last updated: 13 Aug 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.