| NPI | 1760006407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY WOOD Executive Director 304-766-0060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |