Organization
GOLDEN GIRL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH RENEE HARRISON MA, LPC, ALPS, LSW (EXECUTIVE DIRECTOR)
(304) 453-1401
Entity
Organization
Contact information
Practice address
999 B STREET, CEREDO, WV 25507-0876
(304) 453-1401
(304) 453-6273
Mailing address
PO BOX 876, CEREDO, WV 25507-0876
(304) 453-1401
(304) 453-6723
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023496002
—
WV
Enumeration date
03/17/2009
Last updated
02/12/2024
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