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Organization

MULBERRY STREET MANAGEMENT SERVICES, INC.

Active
Other names
Coordinating Council for Independent Living
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY S PLEVICH (CFO)
(304) 291-9066
Entity
Organization

Contact information

Practice address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
(304) 291-2119
Mailing address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
(304) 291-2119

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0030447000
WV
Enumeration date
08/13/2007
Last updated
03/07/2025
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