Organization
MULBERRY STREET MANAGEMENT SERVICES, INC
Active
Parent organization
MULBERRY STREET MANAGEMENT SERVICES, INC
Other names
Coordinating Council for Independent Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULBERRY STREET MANAGEMENT SERVICES, INC
Authorized official
SAMANTHA KELLEY (CFO)
(304) 291-9066
Entity
Organization
Contact information
Practice address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
Mailing address
1097 GREENBAG RD, MORGANTOWN, WV 26508-1532
(304) 291-9066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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