| NPI | 1598290363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET SOMMER Executive Director 304-676-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV AP00942627) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |