| NPI | 1205428257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY WOOD Executive Director 304-419-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-11-17 |