| NPI | 1760896740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA PERSILY President And CEO 304-348-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WV 23020176) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |