| NPI | 1689897118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOSES Executive Director 304-233-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |