| NPI | 1407210438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET CAROLINE SOMMER Executive Director 304-350-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 441) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |