| NPI | 1568038057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE C BOYLES Chief Administrative Officer 304-265-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |