| NPI | 1841569084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON A GABLE Systems Administrator 304-723-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 0000000005) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |