| NPI | 1457538886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A GAMES Director 304-234-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 387) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-06-16 |