| NPI | 1285013896 |
|---|---|
| Doing Business As | ADDICTION CENTER OF WV |
| Entity Type | Organization |
| Authorized Contact | THOMAS LAUDERMAN Owner 304-623-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |