NPI | 1275740623 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLENE GLOVER Executive Director 304-329-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: WV 06GRR033) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |