| NPI | 1710235379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN TRIPPETT Executive Director 304-485-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 23) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2017-06-09 |