| NPI | 1427426329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE L VAUGHAN President/CEO 304-872-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 17) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-04-18 |