| NPI | 1427624634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERI BOSSE President 304-444-9584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 305R00000X Preferred Provider Organization | |
| 310400000X Assisted Living Facility | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 332U00000X Home Delivered Meals | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-11-04 |