Organization
YOUTH HEALTH SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ARBOGAST (OFFICE MANAGER)
(304) 636-2282
Entity
Organization
Contact information
Practice address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450
(304) 636-2282
Mailing address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450
(304) 636-2282
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
55
WV
251S00000X
Community/Behavioral Health Agency
Primary
55
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710052
BLUE CROSS & BLUE SHIELD
WV
01
—
001710053
BCBS CHANDRAN
WV
01
—
001855121
MT STATE BCBS (LPC)
WV
05
—
0023397000
—
WV
05
—
0023397001
—
WV
Enumeration date
09/20/2006
Last updated
03/22/2016
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