| NPI | 1235355264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER RADAKOVICH President & CEO 304-234-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 013) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-27 |