| NPI | 1952883019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ANN BORDERS Executive Director 304-634-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WV 9A592) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |