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Certified Provider Details:
| PROVIDER NUMBER: | 490043 |
| AGENCY NAME: | Appalachian Mental Health Center |
| CONTACT NAME: | Joy D. Messenger |
| ADDRESS: | 725 Yokum Street |
| CITY: | Elkins |
| STATE: | WV |
| ZIP: | 26241 |
| PHONE: | |
| WEB SITE: | www.achcinc.org |
| EMAIL ADDRESS: | jmessenger@achcinc.org |
| BSW/MSW NAME: | Joy Messenger |
| DUE TO RECERTIFY DATE: | 7/1/2012 |
| COMMENTS: |