| NPI | 1982039160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M LAULER Casemanager 304-636-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 55) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |