| NPI | 1932318086 |
|---|---|
| Doing Business As | ALTA VISTA CHILDREN'S SHELTER |
| Entity Type | Organization |
| Authorized Contact | MATT RUDDER Executive Director 304-622-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |