| NPI | 1538462734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE RENEE ELSTER Psychologist 304-623-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |