NPI | 1770773970 |
---|---|
Other Name | HOME BASE LEWIS COUNTY GROUP HOME |
Entity Type | Organization |
Authorized Contact | DAMON C CATER CEO 304-472-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WV 135) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2007-07-25 |