| NPI | 1669741047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE E MASON President 304-645-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV WV630) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |