| NPI | 1801040746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE C. COMER-PORTER Executive Director 304-523-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WV SLP1168) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |