Organization
BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH INC
Active
Parent organization
BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH INC
Other names
Everstand
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH INC
Authorized official
BRITTANY CORDELL LPC (INTERIM CLINICAL SUPERVISOR)
(304) 267-3300
Entity
Organization
Contact information
Practice address
715 BROWN RD, MARTINSBURG, WV 25404-7282
(304) 267-3300
Mailing address
715 BROWN RD, MARTINSBURG, WV 25404-7282
(304) 267-3300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056790600
—
MD
05
—
300222500
—
MD
05
—
3810026072
—
WV
05
—
479100200
—
MD
05
—
9301006000
—
WV
Enumeration date
09/25/2024
Last updated
09/25/2024
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