| NPI | 1376760686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M MCWATTERS Chief Executive Officer 304-348-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 385) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |