| NPI | 1174021406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J MEADOWS CEO 304-916-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2020-02-12 |