| NPI | 1053962241 |
|---|---|
| Other Name | MCN |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL PRICE Owner 304-419-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-12-30 |