| NPI | 1295972248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FAIRLEY Executive Director 304-363-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 403) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |