| NPI | 1790028744 |
|---|---|
| Doing Business As | SOUTHWAY |
| Entity Type | Organization |
| Authorized Contact | PATRICK L FIELDS Administrative Director Of Bhs 304-766-3441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WV 109) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |