| NPI | 1780711291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE DAVID BEIRNE CEO 304-525-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: WV 35) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-12-09 |