# CORBIN'S CLUBHOUSE AUTISM & SPECIAL NEEDS CORPORATION

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

## Provider details

- **NPI number:** 1457843336
- **Authorized official:** BILLEE JEAN BELL (CARE TAKER)
- **Authorized official phone:** (304) 629-6706

## Contact information

- **Practice address:** 220 MILFORD ST, CLARKSBURG, WV 26301-3517
- **Practice address phone:** (304) 629-6706
- **Mailing address:** PO BOX 1222, CLARKSBURG, WV 26302-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018