| NPI | 1841655388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TODD BOWEN President 304-593-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |