| NPI | 1275701674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA COGLE Children's Outreach Liaison 304-263-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV BP00939896) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2024-01-12 |