Organization
SOUTHWESTERN COMMUNITY ACTION COUNCIL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT COBURN (CEO)
(304) 525-5151
Entity
Organization
Contact information
Practice address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 525-5151
(304) 697-8556
Mailing address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 525-5151
(304) 697-8556
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
042376
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023584001
—
WV
Enumeration date
02/26/2008
Last updated
02/26/2008
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