| NPI | 1104228006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME DAWN DODD Owner, Executive Director 304-657-8943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WV AP00944042) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: WV 332608) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-10-08 |