| NPI | 1831645464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HUGHART Executive Director 304-222-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |