| NPI | 1023141041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RENEE BURGESS Director, Family Resource Center 304-388-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WV WV 1813) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |