| NPI | 1972785137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL SMITH Executive Director 304-294-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 276) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |