| NPI | 1447425459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GALLAGHER Executive Director 304-366-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 08GRR001) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |