| NPI | 1861973547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MICHELLE GIAQUINTO CFO 304-969-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |