| NPI | 1609398585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA TURNER Accounting Tech Iii 304-265-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |