| NPI | 1740958065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON VARNEY Executive Director 304-730-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |