| Nicholas County Community Corrections | |
|
603 Broad St Summersville WV 26651-1307 | |
| (304) 872-9645 | |
| (304) 872-9643 |
| Full Name | Nicholas County Community Corrections |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 603 Broad St, Summersville, West Virginia |
| Authorized Official Name and Position | Stephanie L Westfall (ASSISTANT PROGRAM DIRECTOR) |
| Authorized Official Contact | 3048729645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas County Community Corrections 603 Broad St Summersville WV 26651-1307 Ph: (304) 872-9645 | Nicholas County Community Corrections 603 Broad St Summersville WV 26651-1307 Ph: (304) 872-9645 |
| NPI Number | 1821549478 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821549478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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