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 |