| NPI | 1770581118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN GUSTKE Chief Financial Officer 304-269-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WV EXEMPT) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2018-09-12 |