DEVELOPMENTAL EVOLUTION, LLC

CHARLES TOWN, WV
NPI1710391057
Doing Business AsMENTAL AND SOCIAL HEALTH CENTER
Entity TypeOrganization
Authorized ContactMICHAEL SHOR
Member
304-725-4160
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WV  BP00944336)
Enumeration Date2014-06-15
Last Update Date2014-06-15
Business Address
DEVELOPMENTAL EVOLUTION, LLC
667 HUYETT RD
CHARLES TOWN, WV 25414-5378
Phone number: 304-725-4160
Mailing Address
DEVELOPMENTAL EVOLUTION, LLC
44 PADDOCK PL
CHARLES TOWN, WV 25414-5329
Phone number: 304-725-4160