| NPI | 1659641405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITT K HIGGINBOTHAM Wvbttsc 304-733-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WV 171M00000X) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |