Golden Girl, Inc.

NPI 1073755104 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1073755104
Enumeration Date 04/06/2009
Last Updated 04/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LEAH RENEE LEAH
Position EXECUTIVE DIRECTOR
Phone (304) 453-1401
Fax (304) 453-6273
Practice Location
999 B STREET
CEREDO WV, 22507-0876, US
Phone (304) 453-1401
Fax (304) 453-6273
Business Location
PO BOX 876
CEREDO WV, 25507-0876, US
Phone (304) 453-1401
Fax (304) 453-6273
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Golden Girl, Inc. NPI is 1073755104, taxonomy code is 322D00000X Golden Girl, Inc. physically located at 999 B Street, Ceredo WV, 22507-0876. NPI Number 1033115704 has the healthcare provider type.

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1073755104 NPI number is provided on an as is basis without warranty of any kind. 1073755104 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Girl, Inc. are for informational purposes only.