Organization
LEAD ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE KIRBY BLANKENSHIP PH.D. (PRESIDENT)
(304) 573-0661
Entity
Organization
Contact information
Practice address
351 VALLEY VIEW ST, MIDWAY, WV 25878
(304) 573-0661
(304) 573-0661
Mailing address
PO BOX 280, MIDWAY, WV 25878-0280
(304) 573-0661
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
09/20/2017
Last updated
08/17/2020
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