Organization
NINETEENTH CIRCUIT COMMUNITY CORRECTIONS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMELA C. NAROG (EXECUITVE DIRECTOR/PROJECT MANAGER)
(304) 265-0351
Entity
Organization
Contact information
Practice address
216 WEST MAIN STREET, GRAFTON, WA 26351
(304) 265-0351
(304) 265-0384
Mailing address
216 WEST MAIN STREET, GRAFTON, WA 26351
(304) 265-0351
(304) 265-0384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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