| NPI | 1043706484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA M VAUGHN Owner 606-547-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WV 2182) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2025-09-02 |