| NPI | 1760108138 |
|---|---|
| Doing Business As | WVCORR |
| Entity Type | Organization |
| Authorized Contact | MISTY STAMBLER Executive Director 304-359-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-06-01 |