| NPI | 1811642390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BAILEY Director Of Rehabilitation Services 304-428-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |