| Organization Name: | DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES |
| NPI Number: | 1649209990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH R FULLER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 133 Mcclure Ave Clintwood |
| State: | VA US |
| Postal Code: | 242280309 |
| Phone Number: | 2769261680 |
| Fax Number: | 2769269179 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 03/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 091-07-004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |