| NPI | 1215354279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN TRIPPETT CEO 304-485-1721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 23) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2017-05-23 |