| NPI | 1063242139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE CLENDENIN Wvde Tac: Wv Outreach Center For Th 304-822-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |