Organization
FLORENCE CRITTENTON PROGRAMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DENISE SMITH MA (THERAPIST)
(304) 455-3035
Entity
Organization
Contact information
Practice address
2606 NATIONAL RD, WHEELING, WV 26003-5370
(304) 455-3035
(304) 455-3035
Mailing address
2606 NATIONAL RD, WHEELING, WV 26003-5370
(304) 455-3035
(304) 455-3035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550751563
—
WV
Enumeration date
10/17/2016
Last updated
10/17/2016
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