| NPI | 1164639373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI RENEA FERRELL Director Of Administration And Huma 304-347-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-21 |