| NPI | 1457485898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL DAMOUS Executive Director 304-720-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 274) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |