| NPI | 1598156002 |
|---|---|
| Other Name | LIFE SUPPORT ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WILLIAMS CEO/Founder 304-374-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1302076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 269712) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |