|
|
Certified Provider Details:
| PROVIDER NUMBER: |
490028 |
| AGENCY NAME: |
WV Child Care Assoc./Youth Academy |
| CONTACT NAME: |
Dennis Pease |
| ADDRESS: |
1 United Way Square |
| CITY: |
Charleston |
| STATE: |
WV |
| ZIP: |
25301 |
| PHONE: |
(304) 363-3341 |
| WEB SITE: |
|
| EMAIL ADDRESS: |
|
| BSW/MSW NAME: |
Denise Pease |
| DUE TO RECERTIFY DATE: |
7/1/2010 |
| COMMENTS: |
|
|
