| NPI | 1609934223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R FRY Executive Director 304-429-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |