| Family Service Of Marion & Harrison Counties Inc | |
|
1313 Locust Ave Ste 1 Fairmont WV 26554-1517 | |
| (304) 366-4750 | |
| (304) 366-4753 |
| Full Name | Family Service Of Marion & Harrison Counties Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1313 Locust Ave Ste 1, Fairmont, West Virginia |
| Authorized Official Name and Position | Carolyn Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3043664750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of Marion & Harrison Counties Inc 1313 Locust Ave Ste 1 Fairmont WV 26554-1517 Ph: (304) 366-4750 | Family Service Of Marion & Harrison Counties Inc 1313 Locust Ave Ste 1 Fairmont WV 26554-1517 Ph: (304) 366-4750 |
| NPI Number | 1144822073 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144822073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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