| NPI | 1194933788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRICE Interim CEO 304-289-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 08GRR040) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-07-28 |