| NPI | 1730382060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM LOONEY Supervising Social Worker 304-232-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WV DP00454754) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |