| NPI | 1003250408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA R COGLE Owner/Operator 304-901-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00939896) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-05-14 |