| NPI | 1124594486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATTHEW STRAUB CFO 304-691-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-03-02 |