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Organization

PATRTNERSHIP OF AFRICAN AMERICAN CHURCHES

Active
Other names
Partnership of African American Churches
Organization subpart
No

Provider details

NPI number
Authorized official
EDNA GREEN (CHIEF OPERATIONS OFFICER)
(304) 768-7688
Entity
Organization

Contact information

Practice address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 768-7688
(304) 768-7647
Mailing address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 768-7688
(304) 768-7647

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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