| NPI | 1639607484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA TORRES Director 304-574-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: WV 1040-2523) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |