Organization
MOUNTAIN CARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PRICE MSW, LICSW (OWNER)
(304) 419-8890
Entity
Organization
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
(304) 988-4424
Mailing address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
(304) 988-4424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WVTPID-010386
—
WV
Enumeration date
05/03/2021
Last updated
05/03/2021
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