| NPI | 1922374883 |
|---|---|
| Former Legal Business Name | PRIDE IN LOGAN COUNTY, INC. |
| Entity Type | Organization |
| Authorized Contact | REGINALD JONES Executive Director 304-752-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-04-11 |