Organization
MOUNTAIN CARE NETWORK
Active
Other names
MCN
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PRICE MSW, LICSW (OWNER)
(304) 419-8890
Entity
Organization
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 419-8890
Mailing address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 419-8890
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/27/2019
Last updated
12/30/2019
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