| NPI | 1487194387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LAWS Chief Executive Officer 304-389-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WV 30228429) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2026-09-15 |