| NPI | 1316350259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL D SMITH Executive D Irector 304-294-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 276) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |