| NPI | 1609270941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT LEMON President 304-347-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 1026-6783) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |