Organization Name: | JASON D FROHNAPFEL |
NPI Number: | 1578919452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON D FROHNAPFEL (OWNER) |
Mailing Address: | 500 Tomlinson Ave Glen Dale |
State: | WV US |
Postal Code: | 260381629 |
Phone Number: | 7405792088 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | S0031923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |