Organization Name: | ELKINS CENTER FOR COUNSELING AND DEVELOPMENT |
NPI Number: | 1164543583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W ZUBOY (DIRECTOR) |
Mailing Address: | 1002 S Davis Ave Elkins |
State: | WV US |
Postal Code: | 262413528 |
Phone Number: | 3046361550 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |