NPI | 1487926648 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL JOHNSON Executive Director 304-436-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 384) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2012-02-03 |