| NPI | 1477761054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG HUNTT President CEO 304-289-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 170) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-24 |