| NPI | 1205183365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JEWELL Director Of Finance 304-235-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WV 10350857) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |