| NPI | 1730529462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE E EVANS Executive Director 304-257-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 10359713) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-08-31 |