| NPI | 1326664426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY DAWN ADKINS Peer Support Specialist 304-532-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 347C00000X Private Vehicle | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |