| NPI | 1003459686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO YUSEF CRAIGHEAD Program Director 304-610-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 174H00000X Health Educator | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-04-08 |