| NPI | 1831543289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ESTEP Addictions Specialist 304-346-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 03-611) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |