Organization
IMPACT ME ADDICTION COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERI BOSSE (OWNER)
(681) 265-1140
Entity
Organization
Contact information
Practice address
303 WASHINGTON ST W STE 205, CHARLESTON, WV 25302-2230
(681) 265-1140
Mailing address
303 WASHINGTON ST W STE 205, CHARLESTON, WV 25302-2230
(681) 265-1140
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
04/23/2021
Last updated
05/28/2021
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