Provider First Line Business Practice Location Address:
COUNCIL OF THE SOUTHERN MOUNTAINS
Provider Second Line Business Practice Location Address:
148 MCDOWELL ST
Provider Business Practice Location Address City Name:
WELCH
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-436-6800
Provider Business Practice Location Address Fax Number:
304-436-6803
Provider Enumeration Date:
01/27/2021