Autism Services Center
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Huntington, WV
NPI 1912034232 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1912034232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- License
- 35 (WV)
- Legal business name
- AUTISM SERVICES CENTER
- Practice address
- 10 6TH Ave W
Huntington, WV 25701-0028 - Phone
- (304) 525-8014
- Fax
- (304) 525-8026
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Mike J Grady
- Title
- Chief Operations Officer
- Phone
- (305) 525-8014
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Autism Services Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 35 | WV | Yes |
Addresses
Primary practice location
10 6TH Ave W
Huntington, WV 25701-0028
Mailing address
10 6TH Ave W
Huntington, WV 25701-0028
Phone (304) 525-8014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023400001 | Medicaid | WV |
Other providers in Huntington, WV
- Heather R Aulick
- Braden Austin
- Emma L Austin
- Autism Service Center
- Autism Services Center
- Autism Services Center
- Autism Services Center, Inc.
- Autism Services Center, Inc.
- Dallas Cole Auton
- Brooklynn Taylor Auxier
All providers in Huntington, WV · Adolescent and Children Mental Health Clinic/Center in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.