Provider Demographics
NPI:1780916684
Name:APPALACHIAN COMMUNITY SERVICES
Entity type:Organization
Organization Name:APPALACHIAN COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, QP
Authorized Official - Phone:276-728-2070
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:WOODLAWN
Mailing Address - State:VA
Mailing Address - Zip Code:24381-0206
Mailing Address - Country:US
Mailing Address - Phone:276-728-2070
Mailing Address - Fax:276-728-2161
Practice Address - Street 1:641 CARROLLWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:VA
Practice Address - Zip Code:24381-3539
Practice Address - Country:US
Practice Address - Phone:276-728-2070
Practice Address - Fax:276-728-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health