| NPI | 1487619219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE WARD Credentailing Coordinator 304-234-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-02-23 |