| NPI | 1497706659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H. DISSEN CEO/President 304-348-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WV 151) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2013-04-12 |