Organization
DIVERSIFIED ASSESSMENT & THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA KISER GRIFFITH PSY.D (EXECUTIVE DIRECTOR)
(304) 453-2800
Entity
Organization
Contact information
Practice address
1401 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 453-2800
Mailing address
1401 CHESTNUT ST, KENOVA, WV 25530-1235
(304) 453-2800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WV
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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