Organization
WV FAMILY SUPPORT AND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA ELAINE OGWUDE LPC, CRC, LSW (CEO)
(304) 917-0021
Entity
Organization
Contact information
Practice address
214 8TH ST., PARKERSBURG, WV 26101
(304) 917-0021
Mailing address
214 E 8TH ST, PARKERSBURG, WV 26101-4615
(304) 917-0021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
410
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810024714
—
WV
Enumeration date
10/15/2014
Last updated
04/28/2024
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