Organization
GRAFTON SCHOOL, INC.
Active
Other names
Grafton Integrated Health Network
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LANE (DIRECTOR, CYCLE MNGT./ACCOUNTS RECE)
(540) 542-0200
Entity
Organization
Contact information
Practice address
46 TRIFECTA PL, SUITE 105, CHARLES TOWN, WV 25414-5652
(304) 725-4536
Mailing address
PO BOX 2500, WINCHESTER, VA 22604-1700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
425
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025462
—
WV
Enumeration date
04/06/2016
Last updated
05/18/2016
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