| NPI | 1184849275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL LYNN ROWLAND Clinical Social Worker 304-261-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV DP00939774) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-01-06 |