# CHARLES W. CAMMACK CHILDREN'S CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104086503
- **Authorized official:** MR. ANTHONY WARNICK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 523-3497

## Contact information

- **Practice address:** 64 6TH AVE W, HUNTINGTON, WV 25701-1751
- **Practice address phone:** (304) 523-3497
- **Practice address fax:** (304) 529-3882
- **Mailing address:** 64 6TH AVE W, HUNTINGTON, WV 25701-1751
- **Mailing address phone:** (304) 523-3497
- **Mailing address fax:** (304) 529-3882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008
