| NPI | 1285095513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SANDERS Chief Executive Officer 304-637-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |