| NPI | 1720146921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KILEY Executive Director 304-636-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |