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Organization
PATRTNERSHIP OF AFRICAN AMERICAN CHURCHES
Active
Organization
PATRTNERSHIP OF AFRICAN AMERICAN CHURCHES
Active
Other names
Partnership of African American Churches
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA GREEN (CHIEF OPERATIONS OFFICER)
(304) 768-7688
Entity
Organization
Contact information
Practice address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 768-7688
(304) 768-7647
Mailing address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 768-7688
(304) 768-7647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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