| NPI | 1356522783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE WARD Credentialing Coordinator 304-234-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: WV 05) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: WV 05) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-02-23 |