Organization
TOTALLY SC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA L CLARK (PRESIDENT)
(304) 786-7418
Entity
Organization
Contact information
Practice address
369 3RD AVE, RIPLEY, WV 25271-1535
(304) 786-7418
Mailing address
PO BOX 369, RIPLEY, WV 25271-0369
(304) 786-7418
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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