Organization
KANAWHA VALLEY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI RENEA FERRELL MA (DIRECTOR OF ADMINISTRATION AND HUMA)
(304) 347-9818
Entity
Organization
Contact information
Practice address
200 BRADFORD STREET, CHARLESTON, WV 25301-5301
(800) 835-5277
(304) 347-9820
Mailing address
200 BRADFORD STREET, CHARLESTON, WV 25301-5301
(800) 835-5277
(304) 347-9820
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200000000
—
WV
Enumeration date
05/17/2007
Last updated
07/21/2022
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