Organization
MONONGALIA COUNTY YOUTH SERVICE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISTY RIGGS LSW (EXECUTIVE DIRECTOR)
(304) 599-2293
Entity
Organization
Contact information
Practice address
440 ELMER PRINCE DR, MORGANTOWN, WV 26505-3273
(304) 599-2293
Mailing address
440 ELMER PRINCE DR, MORGANTOWN, WV 26505-3273
(304) 599-2293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158457001
—
WV
Enumeration date
05/30/2008
Last updated
05/30/2008
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