NPI | 1023351392 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL JOHNSON Executive Director 304-436-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 384) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2013-04-30 |