Organization
YOUTH HEALTH SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA KAY KOON (BILLING CLERK)
(304) 636-9450
Entity
Organization
Contact information
Practice address
971 HARRISON AVENUE, YOUTH HEALTH SERVICE INC, ELKINS, WV 26241
(304) 636-9450
(304) 636-2282
Mailing address
971 HARRISON AVENUE, YOUTH HEALTH SERVICE INC, ELKINS, WV 26241
(304) 636-9450
(304) 636-2282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944009
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023397001
—
WV
Enumeration date
08/07/2012
Last updated
08/07/2012
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