| NPI | 1225592546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANIEL ASBURY CEO 304-960-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |