| NPI | 1154780294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER CONLEY Counselor Supervisor 877-788-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 270) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |