| NPI | 1669937744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE AKERS Director 304-792-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-06 |