Organization
SOLACE BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA HUNTER (NP/DIRECTOR)
(304) 641-1809
Entity
Organization
Contact information
Practice address
201 ADAMS ST, FAIRMONT, WV 26554-2825
(304) 641-1809
Mailing address
201 ADAMS ST, FAIRMONT, WV 26554-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/14/2019
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