| NPI | 1851793152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY JONES CFO 304-636-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: WV 134) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-03-25 |