| NPI | 1336598739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LYNN DAVIS Owner/Admin 304-257-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WV 2319-8575) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |