| NPI | 1326145525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ARBOGAST Office Manager 304-636-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 55) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WV 55) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-03-22 |