| NPI | 1750592903 |
|---|---|
| Doing Business As | STREET CONSULTING & BEHAVIORAL SERV. LLC |
| Entity Type | Organization |
| Authorized Contact | SANDRA D. STREET Owner 304-242-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1135) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 10053) |
| 101YP2500X Counselor, Professional (Licence: OH C0004992) | |
| 101YP2500X Counselor, Professional (Licence: WV 37956) | |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2014-03-20 |