| NPI | 1376783613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOSES Executive Director 304-233-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 09GR003) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |