| NPI | 1396961348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A GAMES Director 304-234-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 387) |
| Additional Taxonomies | 251S00000X (Licence: WV 387) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-31 |