| NPI | 1770048043 |
|---|---|
| Doing Business As | LAUREL PLACE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LLOYD KOCH CFO 304-637-3196 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-05-07 |