| NPI | 1235286865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH SEARLS Vice President 304-302-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 00372) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |