| NPI | 1104086503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WARNICK Executive Director 304-523-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |