| NPI | 1265782395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KISER GRIFFITH Executive Director 304-453-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |