| NPI | 1336351469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ELLENBERGER Executive Director, Wv 304-363-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 97) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-07-24 |