| NPI | 1750424909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BROWNING Executive Director 304-259-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: WV 805668) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |