| NPI | 1689288813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DAWN CROWDER Executive Director 304-523-5459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-10-12 |