| NPI | 1306366679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KEITH SHEPPARD CFO 304-356-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-14 |