Organization
TASK FORCE ON DEOMESTIC VIOLENCE, 'HOPE, INC'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HARRIET MILLER SUTTON MSW, ACSW (FINANCIAL MANAGER)
(304) 367-1100
Entity
Organization
Contact information
Practice address
411 JACKSON STREET, FAIRMONT, WV 26555
(304) 367-1100
(304) 367-0362
Mailing address
PO BOX 626, FAIRMONT, WV 26555
(304) 367-1100
(304) 367-0362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023902000
OLD IDENTIFICATION NUMBER UNDER UNISYS
WV
05
—
10300
—
WV
Enumeration date
10/21/2008
Last updated
10/21/2008
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