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Organization

CHARLES W. CAMMACK CHILDREN'S CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY WARNICK (EXECUTIVE DIRECTOR)
(304) 523-3497
Entity
Organization

Contact information

Practice address
64 6TH AVE W, HUNTINGTON, WV 25701-1751
(304) 523-3497
(304) 529-3882
Mailing address
64 6TH AVE W, HUNTINGTON, WV 25701-1751
(304) 523-3497
(304) 529-3882

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0023392002
WV
Enumeration date
06/10/2008
Last updated
06/10/2008
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