Organization
YOUTH HEALTH SERVICE INC
Active
Organization
YOUTH HEALTH SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M LAULER MSW (CASEMANAGER)
(304) 636-9450
Entity
Organization
Contact information
Practice address
971 HARRISON AVE, ELKINS, WV 26241-3608
(304) 636-9450
(304) 696-2282
Mailing address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450
(304) 696-2282
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
55
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550665150
—
WV
Enumeration date
09/06/2013
Last updated
09/06/2013
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