Organization
GREENBRIER ACADEMY FOR GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER CONLEY LPC (COUNSELOR SUPERVISOR)
(877) 788-8422
Entity
Organization
Contact information
Practice address
158 ACADEMY DR., GREENBRIER ACADEMY FOR GIRLS, PENCE SPRINGS, WV 24962
(877) 788-8422
Mailing address
158 ACADEMY DR., GREENBRIER ACADEMY FOR GIRLS, PENCE SPRINGS, WV 24962
(877) 788-8422
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
270
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270
PROVISIONAL LICENSE
WV
Enumeration date
02/17/2016
Last updated
02/17/2016
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