| NPI | 1073767224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LYN BELL Director 304-727-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 392) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |