| NPI | 1952357568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARRS Dir Of Um And Billing 304-485-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 23) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-06-11 |