| NPI | 1376376889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN HENSON Senior Director 304-503-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |