| NPI | 1225114184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL JOHNSON Executive Director 304-862-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: WV 3810005980) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |