| NPI | 1639344708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PEASE Executive Director 304-340-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 191 and 192) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |