| NPI | 1033411905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L PLEASANT Director Fo Programs 304-340-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WV 08GRR049) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |