| NPI | 1902669724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MAHAGA CEO 304-208-2908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-10-07 |