| NPI | 1336363233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SZAFRAN CEO 304-242-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: WV 05GRR0037) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-16 |