| NPI | 1801974233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK J. SAMS CEO 304-485-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-11-04 |