| NPI | 1245404359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MICHELLE HIGGINS Adolescent Substance Ab. Therapist 304-366-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WV NA) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |