| NPI | 1235354879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SPANGLER Ex. Director 304-647-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 186) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |