Organization
COUNCIL OF SENIOR TYLER COUNTIANS, INC.
Active
Organization
COUNCIL OF SENIOR TYLER COUNTIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM JAMES (EXECUTIVE DIRECTOR)
(304) 758-4919
Entity
Organization
Contact information
Practice address
504 CHERRY STREET, MIDDLEBOURNE, WV 26149
(304) 758-4919
(304) 758-4680
Mailing address
504 CHERRY STREET, P.O. BOX 68, MIDDLEBOURNE, WV 26149
(304) 758-4919
(304) 758-4680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030589000
—
WV
05
—
0030589001
—
WV
Enumeration date
04/18/2007
Last updated
07/21/2022
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