| NPI | 1366846016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE E. DOBRZANSKI Executive Director 304-527-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 13GR10) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |