| NPI | 1790956019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E ROSWALL Executive Director 304-529-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WV 0030563003) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |