| NPI | 1306370622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER D GUSH Director 304-553-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV BP02943210) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |