| NPI | 1174032338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE KIRBY BLANKENSHIP President 304-573-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-08-17 |