| NPI | 1609383298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MATTHEW RUDDER Chief Executive Officer 304-622-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |