NPI | 1679060420 |
---|---|
Entity Type | Organization |
Authorized Contact | EDNA GREEN Associate Director Operations 304-768-7688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2020-10-19 |