Organization
MOUNTAINEER CASE MANAGEMENT
Active
Other names
Mountaineer Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B DICKEY MSCRCLPC (ADMINISTRATOR)
(304) 476-6698
Entity
Organization
Contact information
Practice address
1445 PARK SIDE EST, FAIRMONT, WV 26554-6109
(304) 476-6698
Mailing address
1445 PARK SIDE EST, FAIRMONT, WV 26554-6109
(304) 476-6698
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10211817
WV
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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