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Organization

SENECA HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE CLUTTER (VP FINANCE/CFO)
(304) 872-6503
Entity
Organization

Contact information

Practice address
804 INDUSTRIAL PARK RD STE 1, MAXWELTON, WV 24957-8066
(304) 497-0500
(304) 497-0516
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
(304) 872-5415

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
76369
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154532513
WV
05
1245441609
WV
05
1518953652
WV
Enumeration date
06/10/2015
Last updated
04/19/2022
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