Organization
GLOBAL ACCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE ELIZABETH DICKSON QMRP II (OWNER CEO)
(304) 344-1459
Entity
Organization
Contact information
Practice address
25 ESTILL DR, CHARLESTON, WV 25314-1523
(304) 344-1459
Mailing address
25 ESTILL DR, CHARLESTON, WV 25314-1523
(304) 344-1459
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
367
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005983
—
WV
Enumeration date
05/22/2007
Last updated
07/10/2008
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