| NPI | 1508907338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER L HINKLE Executive Director 304-645-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-02-25 |