| NPI | 1083492649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN KNIGHT CEO 304-233-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| 283Q00000X Psychiatric Hospital | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |