NPI | 1215230685 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LOONEY Team Leader 304-232-0587 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV DP00942969) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2010-12-07 |