| NPI | 1427451392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ARBOGAST Business Coordinator 304-636-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 55) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |