| NPI | 1659417806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TORRICO Director 304-254-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 355) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-09-12 |