| NPI | 1508260837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ELAINE OGWUDE CEO 304-917-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 410) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-04-28 |