| NPI | 1992186191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE L VAUGHAN President/CEO 304-872-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-04-19 |